Organization
HALLMARK DENTAL EVERETT
Active
Other names
Hallmark Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANARAO KROTHAPALLI DMD (PRESIDENT)
(617) 223-1652
Entity
Organization
Contact information
Practice address
551 BROADWAY, EVERETT, MA 02149-3737
(617) 223-1652
Mailing address
551 BROADWAY, EVERETT, MA 02149-3737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20845
MA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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