Individual
MAHSA MOGHADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-6818
Mailing address
15 QUEENSBERRY ST APT 4, BOSTON, MA 02215-5006
(413) 356-0949
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL100319
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/26/2024
Last updated
05/20/2025
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