Individual
DEMETRA KARLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 MARKET ST, LYNN, MA 01901
(781) 592-5940
Mailing address
1 MARKET ST, LYNN, MA 01901
(781) 592-5940
(978) 740-0109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16617
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271837
—
MA
01
—
X06001
BCBS
MA
Enumeration date
06/05/2007
Last updated
07/08/2007
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