Shahram Moghaddam, D.M.D.

NPI #1013048214 in Somerville, Massachusetts

Provider Information

NPI Number: 1013048214
Entity Type: Individual
Name: Shahram Moghaddam, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Mar 8, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 396 HIGHLAND AVE
City: Somerville
State: Massachusetts
ZIP Code: 02144-2512
Phone: (617) 776-2323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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