Individual
PEIMAN MAHDAVI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1428 MAIN ST, SUITE#1, WALPOLE, MA 02081-1729
(508) 668-8008
(508) 668-8808
Mailing address
1428 MAIN ST., SUITE#1, WALPOLE, MA 02081
(508) 668-8008
(508) 668-8808
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17965
MA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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