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Provider Information for 1841208113

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MAHSHID MIRGHASSAMI DDS

Gender: FEMALE

Individual NPI: 1841208113

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1841208113
Enumeration Date 2006-08-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 140 COMMONWEALTH AVENUE STE 209
DANVERS, MA 01923
United States

Phone: 978-777-9999 | Fax: 978-777-9119
View Map External Link
Primary Practice Address 140 COMMONWEALTH AVENUE STE 209
DANVERS, MA 01923
United States

Phone: 978-777-9999 | Fax: 978-777-9119
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist MA 20307