Konstantin Ronkin Dmd And Evetta Shularteman Dmd Pc

NPI 1053473488 - Dentist - 1223G0001X

NPI Details
NPI 1053473488
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HEATHER HEATHER
Position OFFICE MANAGER
Phone (781) 828-4568
Fax (781) 575-0183
Practice Location
2184 WASHINGTON ST
CANTON MA, 02021, US
Phone (781) 828-4568
Fax (781) 575-0183
Business Location
2184 WASHINGTON ST
CANTON MA, 02021, US
Phone (781) 828-4568
Fax (781) 575-0183
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 18421
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According to our database, Konstantin Ronkin Dmd And Evetta Shularteman Dmd Pc NPI is 1053473488, taxonomy code is 1223G0001X and license number is 18421, license state is located at Massachusetts. Konstantin Ronkin Dmd And Evetta Shularteman Dmd Pc physically located at 2184 Washington St, Canton MA, 02021. NPI Number 1033115704 has the healthcare provider type.

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1053473488 NPI number is provided on an as is basis without warranty of any kind. 1053473488 is maintained by the National Plan & Provider Enumeration System. The contents of Konstantin Ronkin Dmd And Evetta Shularteman Dmd Pc are for informational purposes only.