POORNIMA MYSORE VISHWANATH

WALTHAM, MA
NPI1376215137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MA  DN1859211)
Enumeration Date2021-09-30
Last Update Date2021-09-30
Business Address
Dr. POORNIMA MYSORE VISHWANATH DMD
314 MOODY ST
WALTHAM, MA 02453-5202
Phone number: 781-398-0000
Mailing Address
Dr. POORNIMA MYSORE VISHWANATH DMD
9 FIFER LN
LEXINGTON, MA 02420-1231
Phone number: 512-674-5336