Individual
AMI MAHENDRA MARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11 ALEXANDER AVE, BELMONT, MA 02478-4802
(617) 484-3838
Mailing address
14 SOLDIERS FIELD PARK, #14B, BOSTON, MA 02163
(270) 315-2858
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1858894
MA
Other
Enumeration date
05/11/2010
Last updated
02/08/2021
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