Kondrat, Richard M
Kondrat, Richard M is an individual health care provider with primary practice located at 77 Warren St , Brighton MA 02135-3601. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kondrat, Richard M can be contacted via phone (617) 562-5210.Contact Information
Primary practice address
77 Warren St
Brighton MA 02135-3601
Phone: (617) 562-5210
Fax: (617) 782-5049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 14635 | Massachusetts |
Profile Details
| NPI number | 1396881223 |
|---|---|
| LBN Legal business name | Kondrat, Richard M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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