Individual
SETAREH SEPASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(978) 327-5151
Mailing address
14 TYLER ST APT 3C, BOSTON, MA 02111-1930
(512) 909-2968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859786
MA
Other
Enumeration date
05/03/2023
Last updated
06/28/2023
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