Individual
DR. KEERTHY CHILAKAMARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(978) 327-5151
Mailing address
525 HIGHLAND AVE APT 40, MALDEN, MA 02148-3638
(781) 606-2148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857756
MA
1223G0001X
General Practice Dentistry
DN1857756
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1857756
HEALTH AND HUMAN SERVICES
MA
Enumeration date
09/26/2017
Last updated
03/05/2024
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