Individual
AOS ESTOWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 MAIN ST, EVERETT, MA 02149-5719
(617) 207-0705
Mailing address
44 SEAGIRT AVE, SAUGUS, MA 01906-3098
(781) 520-1363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDING
MA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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