Derkazarian, Mark Charles
Derkazarian, Mark Charles is an individual health care provider with primary practice located at 1692 Massachusetts Ave , Cambridge MA 02138-1803. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Derkazarian, Mark Charles can be contacted via phone (617) 864-5444.Contact Information
Primary practice address
1692 Massachusetts Ave
Cambridge MA 02138-1803
Phone: (617) 864-5444
Fax: (617) 576-0109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 20494 | Massachusetts |
Profile Details
| NPI number | 1841331097 |
|---|---|
| LBN Legal business name | Derkazarian, Mark Charles |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Aug 2nd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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