Individual
MARSHA SHAHNOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1149 BEACON ST, BROOKLINE, MA 02446-5513
(617) 739-4700
Mailing address
1149 BEACON ST, BROOKLINE, MA 02446-5513
(617) 739-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18532
MA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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