Individual
DR. NILAVA GHATAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 414-4837
Mailing address
791 TREMONT ST, APT # W407, BOSTON, MA 02118-1052
(617) 888-3406
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DL11637
MA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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