Individual
NILOUFAR MOAZINIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 AMESBURY ST, LAWRENCE, MA 01840-1321
(832) 787-2223
Mailing address
100 AMESBURY ST, LAWRENCE, MA 01840-1321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858632
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2019
Last updated
03/10/2021
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