Individual
MRS. PRATHIMA BAYISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
161 BELMONT ST, BELMONT, MA 02478
(617) 484-5473
Mailing address
161 BELMONT ST, BELMONT, MA 02478
(617) 484-5473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
20875
MA
1223G0001X
General Practice Dentistry
Primary
DN20875
MA
Other
Enumeration date
08/28/2006
Last updated
01/27/2020
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