Individual
DR. EKATERINA MAMULASHVILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
459 BROADWAY, EVERETT, MA 02149-3614
(617) 389-2005
(617) 389-1007
Mailing address
459 BROADWAY, EVERETT, MA 02149-3614
(617) 389-2005
(617) 389-1007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21211
MA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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