Mira Khouzam, DMD

NPI 1215482153 · on the registry since 2016

Practice

Address: 394 Lowell St Ste 2
Lexington, MA 02420
Phone: (781) 656-5321
Organisation at this address: Rose L. Wang, Dmd, Llc
Ancient Path Corporation
Japanese Acupuncture Clinic Llc
Jg Home Health Care Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts