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Bahar Houshmand
Pediatric Dentist in Brookline, Massachusetts
NPI 1013395359

Bahar Houshmand is a Pediatric Dentist based in Andover, MA and is specialized in Pediatric Dentistry. Bahar Houshmand practices in Brookline, MA. The NPI Number for Bahar Houshmand is 1013395359 and holds a License No. 11808 (Massachusetts).

The current practice location address for Bahar Houshmand is 209 Harvard St, Brookline, MA and can be reached out via phone at 617-870-6511.

Location: 209 Harvard St, Brookline, MA, 01810-3312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013395359
Provider Name
Bahar Houshmand
Credential
Provider Entity Type
Individual
Gender
Female
Address
209 Harvard St, Brookline, MA, 01810-3312
Phone Number
617-870-6511
Fax Number
Provider Enumeration Date
05/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
209 Harvard St
City
Brookline
State
Massachusetts
Zip
02446-5071
Phone Number
617-870-6511
Fax Number
person
Provider Business Mailing Address Details
Address
209 Harvard St
City
Brookline
State
Massachusetts
Zip
02446-5071
Phone Number
617-870-6511
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11808 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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