Carlos Isava DDS

NPI 1093791592 - Dentist - 122300000X

NPI Details
NPI 1093791592
Gender Male
Enumeration Date 12/16/2005
Last Updated 01/10/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
250 MOUNT VERNON ST
DORCHESTER MA, 02125-3120, US
Phone (617) 788-1140
Fax (617) 288-3910
Business Location
1135 MORTON ST
MATTAPAN MA, 02126-2834, US
Phone (617) 533-2300
Fax (617) 533-2341
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number 10647
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According to our database, Carlos Isava DDS NPI is 1093791592, taxonomy code is 122300000X and license number is 10647, license state is located at Massachusetts. Carlos Isava DDS physically located at 250 Mount Vernon St, Dorchester MA, 02125-3120. NPI Number Carlos Isava DDS has the Individual type.

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1093791592 NPI number is provided on an as is basis without warranty of any kind. 1093791592 is maintained by the National Plan & Provider Enumeration System. The contents of Carlos Isava DDS are for informational purposes only.