Provider Demographics
NPI:1932265543
Name:JOUHARI, BABAK (DMD)
Entity Type:Individual
Prefix:DR
First Name:BABAK
Middle Name:
Last Name:JOUHARI
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 1:241 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2320
Mailing Address - Country:US
Mailing Address - Phone:978-562-6000
Mailing Address - Fax:978-562-4868
Practice Address - Street 1:241 MAIN ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2320
Practice Address - Country:US
Practice Address - Phone:978-562-6000
Practice Address - Fax:978-562-4868
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA211401223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics