Moghtader, Maryam
Moghtader, Maryam is an individual health care provider with primary practice located at 480 Boston Rd Unit 114 , Billerica MA 01821-2707. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Moghtader, Maryam can be contacted via phone (978) 330-3400.Contact Information
Primary practice address
480 Boston Rd Unit 114
Billerica MA 01821-2707
Phone: (978) 330-3400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN1858667 | Massachusetts |
Profile Details
| NPI number | 1124644844 |
|---|---|
| LBN Legal business name | Moghtader, Maryam |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2020 |
| Last updated | Jun 18th, 2020 - about 4 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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