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Individual

MARYAM SHOMALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
40 GROVE ST, WELLESLEY, MA 02482-7702
(781) 237-1801
Mailing address
65 AVALON RD, NEEDHAM, MA 02492-1635
(718) 817-4086

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17718
MA

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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