Individual
TRACIE SHAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
131 TREMONT ST, BOSTON, MA 02111-1317
(617) 292-0500
Mailing address
66 CLARENDON ST APT 1, BOSTON, MA 02116-6026
(774) 270-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857659
MA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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