Individual
AZADEH EMAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
55 SACK BLVD, UNIT 5, LEOMINSTER, MA 01453-3325
(978) 466-6800
(978) 466-6801
Mailing address
55 SACK BLVD, UNIT 5, LEOMINSTER, MA 01453-3325
(857) 277-3077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0025956
TX
122300000X
Dentist
019028489
IL
122300000X
Dentist
10358
CT
122300000X
Dentist
12011534A
IN
122300000X
Dentist
Primary
DN1855565
MA
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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