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Individual

SORAYA ELAHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MSCD

Contact information

Practice address
563 BROADWAY STE 23, EVERETT, MA 02149-3749
(617) 389-3838
Mailing address
2 GOLDMAN CIR, BEDFORD, MA 01730-1371
(617) 686-0204

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17647
MA

Other

Enumeration date
09/03/2006
Last updated
07/08/2007
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