Individual
DR. MEHRDAD DEHPANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON UNIVERSITY DENTAL HEALTH CENTER, BOSTON, MA 02215-1274
(617) 833-1815
Mailing address
PO BOX 1091, FRAMINGHAM, MA 01701-1091
(617) 833-1815
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20788
MA
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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