Individual
DR. MARY VICTORIA JAFFARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1144 NEWPORT AVE, ATTLEBORO, MA 02703-7033
(508) 790-0178
Mailing address
1 CAMELOT DR, NORTH ATTLEBORO, MA 02760-6545
(401) 574-0661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21727
MA
1223G0001X
General Practice Dentistry
21727
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MJ6240
RI MEDICAL ASSISTANCE PRO
RI
Enumeration date
03/24/2007
Last updated
09/05/2023
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