Provider Demographics
NPI:1821367004
Name:ASKARI, MARJAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARJAN
Middle Name:
Last Name:ASKARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SANDY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3931
Mailing Address - Country:US
Mailing Address - Phone:781-505-8393
Mailing Address - Fax:
Practice Address - Street 1:40 SANDY BROOK RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3931
Practice Address - Country:US
Practice Address - Phone:781-505-8393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD147741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics