Individual
ILYOSS GULYAMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
311 CENTRAL ST, 1ST FLOOR, SAUGUS, MA 01906-2341
(866) 942-5444
Mailing address
8 KIMBALL CT APT 306, BURLINGTON, MA 01803-3843
(866) 942-5444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856045
MA
Other
Enumeration date
06/24/2012
Last updated
04/26/2015
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