Individual
KATRINA LUISA KONTAXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
88 MONTVALE AVE, SUITE 5, STONEHAM, MA 02180-3643
(781) 438-7206
Mailing address
88 MONTVALE AVE, SUITE 5, STONEHAM, MA 02180-3643
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1857165
MA
Other
Enumeration date
08/27/2012
Last updated
08/25/2016
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