Individual
MRS. KHUSHBOO D TALATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
315 CENTRE ST, JAMAICA PLAIN, MA 02130-1414
(508) 559-2300
Mailing address
826 WILLARD ST, APT#117, QUINCY, MA 02169-7453
(201) 286-0288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856069
MA
Other
Enumeration date
07/02/2012
Last updated
01/15/2016
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