Individual
DR. MARK CHARLES DERKAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1692 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1803
(617) 864-5444
(617) 576-0109
Mailing address
1692 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1803
(617) 864-5444
(617) 576-0109
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20494
MA
Other
Enumeration date
02/09/2007
Last updated
08/02/2019
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