Organization
MAZDENTA ADVANCED DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHOSROW DINYARYAN (DMD)
(857) 250-1515
Entity
Organization
Contact information
Practice address
1 TROWBRIDGE RD STE 7, BOURNE, MA 02532-3662
(508) 759-7200
Mailing address
12 JEREMIAH CIR, MEDFORD, MA 02155-1676
(857) 250-1515
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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