Organization
SAMEKA DENTAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EKATERINA MAMULASHVILI DMD (DENTIST)
(617) 268-2333
Entity
Organization
Contact information
Practice address
500 E BROADWAY, SOUTH BOSTON, MA 02127-4406
(617) 268-2333
(617) 268-8894
Mailing address
500 E BROADWAY, SOUTH BOSTON, MA 02127-4406
(617) 268-2333
(617) 268-8894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21211
MA
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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