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Individual

DR. IOAN TUDOR MITITELU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
868 LEXINGTON ST, WALTHAM, MA 02452-4849
(781) 684-9714
Mailing address
868 LEXINGTON ST, WALTHAM, MA 02452-4849
(617) 710-3463

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000777
MA

Other

Enumeration date
08/11/2025
Last updated
08/11/2025
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