Poonam Soi Dmd LLC
NPI #1174046684 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1174046684
- Entity Type
- Organization
- Organization Name
- Poonam Soi Dmd LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 18, 2017
- Last Updated
- Jul 18, 2017
Practice Location
- Address
- 376 MOODY ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02453-5204
- Phone
- (206) 949-7622
Authorized Official
- Name
- POONAM SOI, DMD
- Title
- OWNER/GENERAL DENTIST
- Phone
- (206) 949-7622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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