Individual
SHLOKA AJAY BADVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 CENTRE ST, JAMAICA PLAIN, MA 02130-2552
(617) 524-4400
Mailing address
612 CENTRE ST, JAMAICA PLAIN, MA 02130-2552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859388
MA
Other
Enumeration date
06/13/2022
Last updated
06/15/2022
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