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1073575726
STEPHEN KOMYATI
BOSTON, MA
NPI
1073575726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA 18568)
Enumeration Date
2006-04-06
Last Update Date
2009-04-07
Business Address
-- STEPHEN KOMYATI DMD
133 BROOKLINE AVE
BOSTON, MA 02215-3904
Phone number: 617-421-1122
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Mailing Address
-- STEPHEN KOMYATI DMD
147 MILK ST PROVIDER ENROLLMENT 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8051
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