Individual
CHERYL SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 RIVER ST STE 2, WALTHAM, MA 02453-8349
(781) 891-7737
Mailing address
85 RIVER ST, WALTHAM, MA 02453-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858526
MA
Other
Enumeration date
10/24/2019
Last updated
12/23/2019
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