Individual
AMIR FEREIDOUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., C.A.G.S.
Contact information
Practice address
3985 MYSTIC VALLEY PKWY, MEDFORD, MA 02155-0000
(781) 396-6613
Mailing address
3920 MYSTIC VALLEY PKWY APT 919, MEDFORD, MA 02155-6910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20309
MA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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