NPI 1174182414

Mohammad M Mousavian, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Boston, MA

Practice location

Address: 55 Fruit St Bldg Suite230, Boston, MA 02114-2621
Phone: (617) 726-2741

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN1858982 (MA)

Other Oral & Maxillofacial Surgery providers in Massachusetts →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DL14005 (MA)

Registry record

NPI: 1174182414
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2019
Record last updated: 1 Jul 2021

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.