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Individual

DR. HARRIET STATHIS-UBERTALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
175 DERBY ST STE 11, HINGHAM, MA 02043-4028
(781) 749-9444
(781) 749-4487
Mailing address
19 FOREST ST, HANOVER, MA 02339-3305
(339) 469-1037

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19645
MA

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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