Provider Demographics
NPI:1881233708
Name:MOVAFAGHI, RAMIN (DMD)
Entity type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:
Last Name:MOVAFAGHI
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 FRONT ST UNIT 706
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7093
Mailing Address - Country:US
Mailing Address - Phone:617-905-3310
Mailing Address - Fax:
Practice Address - Street 1:1 EDGELL RD STE 24
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4881
Practice Address - Country:US
Practice Address - Phone:085-939-9885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-23
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18598051223G0001X
CADDS1046161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice