Individual
DR. B GAIL DEMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD,
Contact information
Practice address
140 MERRIAM ST, WESTON, MA 02493-1319
(617) 964-4028
(617) 595-4591
Mailing address
PO BOX 606, WESTON, MA 02493-0004
(617) 964-4028
(617) 595-4591
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
12010332A
MI
1223D0001X
Public Health Dentistry
Primary
14113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6491640001
PTAN
MA
Enumeration date
10/03/2006
Last updated
07/30/2013
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