| Sameka Dental Management | |
|
500 E Broadway South Boston MA 02127-4406 | |
| (617) 268-2333 | |
| (617) 268-8894 |
| Full Name | Sameka Dental Management |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 E Broadway, South Boston, Massachusetts |
| Authorized Official Name and Position | Ekaterina Mamulashvili (DENTIST) |
| Authorized Official Contact | 6172682333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sameka Dental Management 500 E Broadway South Boston MA 02127-4406 Ph: (617) 268-2333 | Sameka Dental Management 500 E Broadway South Boston MA 02127-4406 Ph: (617) 268-2333 |
| NPI Number | 1205015179 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205015179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21211 (Massachusetts) | Primary |
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