Individual
HEDDINAH OTETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL GRADUATE
Contact information
Practice address
44 GREENWOOD ST, MALDEN, MA 02148-2121
(404) 993-1487
Mailing address
44 GREENWOOD ST, MALDEN, MA 02148-2121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417997
VA
122300000X
Dentist
DN1859526
MA
Other
Enumeration date
06/28/2022
Last updated
08/03/2022
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