Malden Dental Center

NPI #1366693558 in Malden, Massachusetts

Provider Information

NPI Number: 1366693558
Entity Type: Organization
Organization Name: Malden Dental Center
Primary Specialty: Dentist
Enumeration Date: Oct 6, 2008
Last Updated: Oct 6, 2008

Practice Location

Address: 427 MAIN ST
City: Malden
State: Massachusetts
ZIP Code: 02148-5012
Phone: (781) 322-5070

Authorized Official

Name: DR. EKATERINA MAMULASHVILI, D.M.D
Title: DENTIST
Phone: (781) 322-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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