Provider Demographics
NPI:1871762591
Name:ARAM J. MIRIGIAN, D.M.D., P.C.
Entity type:Organization
Organization Name:ARAM J. MIRIGIAN, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MIRIGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, PC
Authorized Official - Phone:978-443-8231
Mailing Address - Street 1:410 BOSTON POST RD
Mailing Address - Street 2:RUGGED BEAR PLAZA SUITE 8
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3014
Mailing Address - Country:US
Mailing Address - Phone:978-443-8231
Mailing Address - Fax:978-443-2635
Practice Address - Street 1:410 BOSTON POST RD
Practice Address - Street 2:RUGGED BEAR PLAZA SUITE 8
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3014
Practice Address - Country:US
Practice Address - Phone:978-443-8231
Practice Address - Fax:978-443-2635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA169751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty