Individual
DR. IRIDA DAUTAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
109 COLLEGE AVE, SOMERVILLE, MA 02144-2057
(617) 666-1613
Mailing address
109 COLLEGE AVE, SOMERVILLE, MA 02144-2057
(617) 666-1613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855687
MA
Other
Enumeration date
04/20/2010
Last updated
12/01/2022
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