Individual
DMITRIY MELIKHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2034 CENTRE ST, WEST ROXBURY, MA 02132-3326
(617) 327-0141
Mailing address
2034 CENTRE ST, WEST ROXBURY, MA 02132-3326
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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