Individual provider · Type 1 NPI
Mehrdad Fathian-Dehkordi, D.D.S
Orthodontics and Dentofacial Orthopedics Dentistry · Boston, MA
Practice location
100 E Newton St Rm 104C
Boston, MA 02118-2308
Mailing address
45 E Newton St Apt 120
Boston, MA 02118-4803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 10292 (MA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1265680763
Mehrdad Fathian-Dehkordi, D.D.S's National Provider Identifier is 1265680763, issued on Sep 9, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boston, MA. The record was last updated on Sep 9, 2008.