Individual
INNA O KOMAROVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1212 RIVER ST, HYDE PARK, MA 02136-2906
(617) 361-4833
Mailing address
1212 RIVER ST, HYDE PARK, MA 02136-2906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21849
MA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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