Individual
CALLAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
225 CENTRE ST, MALDEN, MA 02148-5524
(781) 300-4454
Mailing address
9 W BROADWAY UNIT 416, BOSTON, MA 02127-1058
(586) 719-2314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859038
MA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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