Kontax, Carla Irene
Kontax, Carla Irene is an individual health care provider with primary practice located at 386 W Broadway , South Boston MA 02127. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kontax, Carla Irene can be contacted via phone (617) 464-5825.Contact Information
Primary practice address
386 W Broadway
South Boston MA 02127
Phone: (617) 464-5825
Fax: (617) 464-5828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN18999 | Florida |
| Dental Providers / Dentist | 122300000X | DN1855460 | Massachusetts |
Profile Details
| NPI number | 1952622169 |
|---|---|
| LBN Legal business name | Kontax, Carla Irene |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2010 |
| Last updated | Jun 25th, 2018 - about 7 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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