Individual
ELIE WILLIAM AMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 358-1000
Mailing address
89 CENTRE ST, BROOKLINE, MA 02446-2801
(617) 751-9920
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DF11724
MA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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