NPI 1639347222

Triangle Family Dental

Organisation Public Health Dentistry Amherst, MA

Practice location

Address: 203 Triangle St, Amherst, MA 01002-2161
Phone: (413) 549-6270
Fax: (413) 549-6282

Authorised official

Name: Marjan Z Khodadoust
Title: Owner/Dentist
Phone: (413) 549-6270

Registered specialties

Public Health Dentistry Primary

Dental Providers Taxonomy 1223D0001X Licence 19096 (MA)

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Registry record

NPI: 1639347222
Entity type: Organization
NPI issued: 15 Feb 2008
Record last updated: 15 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.