Individual
CHRYSI BOUTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
113 LOWELL ST, PEABODY, MA 01960-4257
(197) 853-2028
Mailing address
111 PERKINS ST APT 46, BOSTON, MA 02130-4320
(917) 679-0118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
016.0134113
VT
1223P0300X
Periodontics
04957
NH
1223P0300X
Periodontics
Primary
DN10001105
MA
Other
Enumeration date
07/21/2022
Last updated
11/20/2025
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