Organization
CHARLES W. MALTA, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W. MALTA D.D.S. (DENTIST)
(781) 438-5200
Entity
Organization
Contact information
Practice address
158 MAIN ST, STONEHAM, MA 02180-1619
(781) 438-5200
Mailing address
158 MAIN ST, STONEHAM, MA 02180-1619
(781) 438-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16850
MA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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