Individual
MS. PAOLA MARIELY PABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
93 UNION STREET, SUITE 308, NEWTON CENTRE, MA 02459
(617) 964-3430
(617) 630-9129
Mailing address
24B LAKE STREET, SOMERVILLE, MA 02143-2913
(617) 816-9462
(617) 630-9129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21382
MA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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