NPI 1275392177

Alla Vaninov, RDH

Practitioner Specialist Needham, MA

Practice location

Address: 102 2nd Ave, Needham, MA 02494-2809
Phone: (617) 304-9531
Mailing address: 89 Bullard St, Sharon, MA 02067-1007

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Specialist

Other Service Providers Taxonomy 174400000X

Registry record

NPI: 1275392177
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2024
Record last updated: 14 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.