Individual
PEARLY SUNIL SHAH-FERRUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
737 BROADWAY, SAUGUS, MA 01906-3207
(781) 231-2100
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1855569
MA
Other
Enumeration date
09/17/2010
Last updated
10/30/2012
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