Individual
KHATCHATOUR NORAIRI KAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
287 WESTERN AVE, ALLSTON, MA 02134-1010
(617) 783-0500
(617) 783-5514
Mailing address
60 CHESTNUT ST, WATERTOWN, MA 02472-2339
(617) 783-0500
(617) 783-5514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21886
MA
124Q00000X
Dental Hygienist
Primary
9187
MA
Other
Enumeration date
05/03/2007
Last updated
08/20/2007
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