Organization
MALDEN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EKATERINA MAMULASHVILI D.M.D (DENTIST)
(781) 322-5070
Entity
Organization
Contact information
Practice address
427 MAIN ST, MALDEN, MA 02148-5012
(781) 322-5070
Mailing address
427 MAIN ST, MALDEN, MA 02148-5012
(781) 322-5070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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