Individual
DR. AMIRALI FATTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
40 JACKSON ST, METHUEN, MA 01844-5000
(978) 682-0020
Mailing address
40 JACKSON ST, METHUEN, MA 01844-5000
(978) 682-0020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855431
MA
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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