Provider Demographics
NPI:1568681815
Name:MIRIGIAN, ARAM JAMES (DMD, PC)
Entity Type:Individual
Prefix:DR
First Name:ARAM
Middle Name:JAMES
Last Name:MIRIGIAN
Suffix:
Gender:M
Credentials:DMD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3014
Mailing Address - Country:US
Mailing Address - Phone:978-443-8231
Mailing Address - Fax:978-443-2635
Practice Address - Street 1:410 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3014
Practice Address - Country:US
Practice Address - Phone:978-443-8231
Practice Address - Fax:978-443-2635
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA169751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice