Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 15075 | MA |
NPI | 1003851387 |
---|---|
Provider Name | Dr. Daniela Sever |
First Address | Weymouth, MA 02190 |
Second Address | Weymouth, MA 02190-1615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 05/09/2019 |