Individual
EVA DU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
474 MAIN ST, WOBURN, MA 01801-4236
(781) 604-3999
Mailing address
474 MAIN ST, WOBURN, MA 01801-4236
(781) 604-3999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000726
MA
Other
Enumeration date
04/20/2024
Last updated
05/17/2025
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