Individual
DR. MARIAM VAZIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
28 BEECHWOOD RD, SUITE 2, SUMMIT, NJ 07901-2532
(978) 692-6326
(908) 737-1353
Mailing address
28 BEECHWOOD RD, SUITE 2, SUMMIT, NJ 07901-2532
(617) 794-0889
(908) 737-1353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
20045
MA
1223G0001X
General Practice Dentistry
Primary
22DI02098000
NJ
Other
Enumeration date
05/22/2007
Last updated
06/15/2012
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