Individual
MARJAN FAKHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
337 BOSTON RD, BILLERICA, MA 01821-1819
(978) 663-3321
Mailing address
337 BOSTON RD, BILLERICA, MA 01821-1819
(978) 663-3321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856666
MA
1223G0001X
General Practice Dentistry
Primary
DN1856666
MA
Other
Enumeration date
09/08/2014
Last updated
12/07/2018
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