Individual
DR. MYTHILI PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
40 JACKSON ST, METHUEN, MA 01844-5014
(978) 682-0020
Mailing address
40 JACKSON ST, METHUEN, MA 01844-5014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19239
MA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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