Individual
EKTA M DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
561 MAIN ST, WEYMOUTH, MA 02190-1817
(781) 335-4900
(781) 335-6953
Mailing address
333 RICCIUTI DR, APARTMENT 1321, QUINCY, MA 02169-6287
(617) 273-0627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21398
MA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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