Ksenia Sundukova, DMD

NPI #1891495164 in Somerville, Massachusetts

Provider Information

NPI Number: 1891495164
Entity Type: Individual
Name: Ksenia Sundukova, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 6, 2023
Last Updated: Jun 4, 2024

Practice Location

Address: 30 COLLEGE AVE
City: Somerville
State: Massachusetts
ZIP Code: 02144-1914
Phone: (617) 764-2247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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