Individual
CARLOS ISAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
250 MOUNT VERNON ST, DORCHESTER, MA 02125-3120
(617) 788-1140
(617) 288-3910
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2300
(617) 533-2341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10647
MA
Other
Enumeration date
12/16/2005
Last updated
01/10/2011
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