Individual
UMUHIRE NTABANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MAVERICK SQ, EAST BOSTON, MA 02128-2335
(617) 568-4872
Mailing address
20 MAVERICK SQ, EAST BOSTON, MA 02128-2335
(617) 568-4872
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN10000012
MA
Other
Enumeration date
09/29/2020
Last updated
01/14/2025
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