Individual
MAYVADEE APIRUGNUNCHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS.
Contact information
Practice address
635 ALBANY ST APT E, BOSTON, MA 02118-3550
(617) 358-8300
Mailing address
523 COLUMBUS AVE APT E, BOSTON, MA 02118-3431
(857) 891-3258
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL100024
MA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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