Provider Demographics
NPI:1184000218
Name:ZABOULIAN, JUBIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JUBIN
Middle Name:
Last Name:ZABOULIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 BEACH POINT PL
Mailing Address - Street 2:APT202
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-3567
Mailing Address - Country:US
Mailing Address - Phone:617-519-5889
Mailing Address - Fax:
Practice Address - Street 1:100 EVERETT AVE
Practice Address - Street 2:#5
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2309
Practice Address - Country:US
Practice Address - Phone:617-884-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856968122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist