Everett Dental Management Co.

NPI #1255421699 in Everett, Massachusetts

Provider Information

NPI Number: 1255421699
Entity Type: Organization
Organization Name: Everett Dental Management Co.
Primary Specialty: Dentist
Enumeration Date: Oct 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 459 BROADWAY
City: Everett
State: Massachusetts
ZIP Code: 02149-3614
Phone: (617) 389-2005

Authorized Official

Name: DR. EKATERINA MAMULASHILI, D.M.D
Title: OWNER
Phone: (617) 389-2005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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