DR. Poornima Mysore Vishwanath, DMD
NPI #1376215137 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1376215137
- Entity Type
- Individual
- Name
- DR. Poornima Mysore Vishwanath, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Sep 30, 2021
- Last Updated
- Sep 30, 2021
Practice Location
- Address
- 314 MOODY ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02453-5202
- Phone
- (781) 398-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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