NPI 1568144624

Keron Kamali Williams

Practitioner Dental Assistant Boston, MA

Practice location

Address: 12 Post Office Sq, Boston, MA 02109-3924
Phone: (212) 686-3686
Mailing address: 97 Allen Ave, Lynn, MA 01902-3532

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence DA11484 (MA)

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Registry record

NPI: 1568144624
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2023
Record last updated: 7 Aug 2023

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.