DR. Paul Walter Ponichtera, DMD
NPI #1124163704 in Milton, Massachusetts
Provider Information
- NPI Number
- 1124163704
- Entity Type
- Individual
- Name
- DR. Paul Walter Ponichtera, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 25 HIGH ST
- City
- Milton
- State
- Massachusetts
- ZIP Code
- 02186-3426
- Phone
- (617) 696-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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