Mehrdad Fathian-Dehkordi, D.D.S Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Boston, MA
- NPI
- 1265680763
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 10292 (MA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-09-09
- Last updated
- 2008-09-09
Practice location
100 E Newton St Rm 104c
Boston, MA 02118-2308
(617) 638-4852