Individual
UMMESALMA DHARIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 DUNIA LN # 25, NORTHBOROUGH, MA 01532-2460
(732) 318-0528
Mailing address
25 DUNIA LN # 25, NORTHBOROUGH, MA 01532-2460
(732) 318-0528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856049
MA
1223P0221X
Pediatric Dentistry
DN1856049
MA
Other
Enumeration date
06/26/2012
Last updated
02/12/2017
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