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NPI Code Detail

MEDICARE: ELENA SINIAVER, DMD PC

MEDICARE: ELENA SINIAVER, DMD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN20118MA

General Provider Information

NPI Number : 1235542457
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELENA SINIAVER, DMD PC
Provider Business Mailing Address
First Line : 90 LAFAYETTE ST
Second Line : SUITE 1A
City : SALEM
State : MA
Zip : 01970-4077
Country : US
Telephone Number : 978-745-0055
Fax Number : 978-745-0058
Provider Business Practice Location Address
First Line : 90 LAFAYETTE ST
Second Line : SUITE 1A
City : SALEM
State : MA
Zip : 01970-4077
Country : US
Telephone Number : 978-745-0055
Fax Number : 978-745-0058
Authorized Official
Title or Position : PRESIDENT
Name : DR. ELENA SINIAVER
Credential : D.M.D.
Telephone Number : 978-745-0055
Provider Enumeration Date : 06/05/2014
Last Update Date : 06/05/2014

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Directions to “ELENA SINIAVER, DMD PC ” Practice Location

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