Individual
MICHAEL ROBERT SHEMKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
270 QUINCY AVE, QUINCY, MA 02169-8127
(617) 773-9500
Mailing address
10 NEWHALL ST # 2, DORCHESTER, MA 02122-2312
(857) 472-3198
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1858218
MA
Other
Enumeration date
05/13/2014
Last updated
08/29/2019
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