Individual
PERSIAH BAKHTIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 BOSTON TPKE, SHREWSBURY, MA 01545-3603
(508) 425-3316
Mailing address
761 HARRISON AVE APT 507, BOSTON, MA 02118-3478
(650) 305-0364
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1859839
MA
Other
Enumeration date
04/30/2021
Last updated
08/16/2023
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