Individual
DR. SAM SHAMARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1423 BROADWAY, SAUGUS, MA 01906-4707
(000) 000-0000
Mailing address
30 UNION PARK ST UNIT 205, BOSTON, MA 02118-2199
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
59221
CA
1223P0300X
Periodontics
Primary
DN1855774
MA
Other
Enumeration date
05/24/2010
Last updated
03/14/2023
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