Individual
DR. GITI GHAVAMZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
332 WASHINGTON ST, SUITE 365, WELLESLEY HILLS, MA 02481-6219
(781) 235-1900
Mailing address
332 WASHINGTON ST, SUITE 365, WELLESLEY HILLS, MA 02481-6219
(781) 235-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12764
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256706
—
MA
Enumeration date
02/27/2007
Last updated
07/08/2007
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