Individual
KATERINA DALAVURAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
779 WASHINGTON ST, CANTON, MA 02021-3022
(781) 828-8070
Mailing address
815 SAINT CLAIR AVE, CHARLOTTESVILLE, VA 22902-4918
(617) 818-4098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418087
VA
122300000X
Dentist
DN1857645
MA
Other
Enumeration date
07/03/2017
Last updated
10/31/2022
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