Individual
MARIAM MALAMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSC, PHD
Contact information
Practice address
1 KNEELAND ST., TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, BOSTON, MA 02111
(617) 636-2436
(617) 636-6583
Mailing address
50 STANIFORD ST FL 5, BOSTON PROSTHODONTICS, BOSTON, MA 02114-2517
(617) 523-5451
(617) 636-6583
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL12259
MA
122300000X
Dentist
Primary
DN1859500
MA
Other
Enumeration date
12/09/2014
Last updated
05/22/2023
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