Organization
MIKHAIL SHULKIN DDS PC
Active
Other names
Moody Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL SHLKINU DDS (DENTIST OWNER)
(781) 894-0889
Entity
Organization
Contact information
Practice address
509 MOODY STREET, WALTHAM, MA 02453
(781) 894-0889
(781) 891-6857
Mailing address
509 MOODY STREET, WALTHAM, MA 02453
(781) 894-0889
(781) 891-6857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20431
MA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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