Individual
KRISTY WINATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
495 CABOT ST # 201, BEVERLY, MA 01915-2515
(978) 927-0324
Mailing address
495 CABOT ST # 201, BEVERLY, MA 01915-2515
(978) 927-0324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857643
MA
Other
Enumeration date
06/29/2017
Last updated
08/31/2020
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