Provider Demographics
NPI:1669702874
Name:ZAHN, JULIETTE S (DMD, CAGS)
Entity type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:S
Last Name:ZAHN
Suffix:
Gender:F
Credentials:DMD, CAGS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:825 BEACON STREET
Mailing Address - Street 2:SUITE 16, NEWTON CENTER
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1834
Mailing Address - Country:US
Mailing Address - Phone:617-332-2872
Mailing Address - Fax:617-332-9446
Practice Address - Street 1:825 BEACON ST STE 16
Practice Address - Street 2:NEWTON CENTER
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1834
Practice Address - Country:US
Practice Address - Phone:617-332-2872
Practice Address - Fax:617-332-9446
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA172881223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics