Individual
EFSTATHIOS PETTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-6974
Mailing address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-6974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL100207
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
07/16/2024
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