| NPI | 1255421699 |
|---|---|
| Doing Business As | EVERETT DENTAL |
| Entity Type | Organization |
| Authorized Contact | EKATERINA MAMULASHILI Owner 617-389-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 21211) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |