Individual
ROSS AJEMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 LONG POND ROAD, SUITE 120, PLYMOUTH, MA 02360
(508) 830-0330
(508) 830-3355
Mailing address
110 LONG POND ROAD, SUITE 120, PLYMOUTH, MA 02360
(508) 830-0330
(508) 830-3355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14348AJ
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01834
AETNA US HEALTH
MA
01
—
14348
DELTA DENTAL
MA
01
—
14348AJ
LIC NO
—
01
—
X05260
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/06/2007
Last updated
07/08/2007
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