Marjan Khodadoust DMD

NPI 1073730354 - Dentist - 1223G0001X

NPI Details
NPI 1073730354
Gender Female
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
203 TRIANGLE ST
AMHERST MA, 01002-2161, US
Phone (413) 549-6270
Fax (413) 549-6282
Business Location
30 WEAVER CIR
AMHERST MA, 01002-4103, US
Phone (413) 549-6930
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 19096
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According to our database, Dr. Marjan Khodadoust DMD NPI is 1073730354, taxonomy code is 1223G0001X and license number is 19096, license state is located at Massachusetts. Marjan Khodadoust DMD physically located at 203 Triangle St, Amherst MA, 01002-2161. NPI Number Marjan Khodadoust DMD has the Individual type.

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1073730354 NPI number is provided on an as is basis without warranty of any kind. 1073730354 is maintained by the National Plan & Provider Enumeration System. The contents of Marjan Khodadoust DMD are for informational purposes only.