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1235202979
MARIAM GHAVAMIAN
BROOKLINE, MA
NPI
1235202979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MA 18012)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Dr. MARIAM GHAVAMIAN D.M.D.
1247 BEACON ST
BROOKLINE, MA 02446-5273
Phone number: 617-738-0806
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Mailing Address
Dr. MARIAM GHAVAMIAN D.M.D.
1247 BEACON ST
BROOKLINE, MA 02446-5273
Phone number: 617-738-0806
Copy
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