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Individual

SVETLANA CHRISTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
968 MAIN ST, WAKEFIELD, MA 01880-3989
(781) 780-4276
Mailing address
22 JUNIPER ST, WENHAM, MA 01984-1454
(218) 251-7404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1856676
MA
1223G0001X
General Practice Dentistry
DN1856676
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN1856676
STATE OF MASSACHUSETTS
MA
Enumeration date
09/11/2014
Last updated
07/21/2022
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