MEDICARE: ERKINA SARTBAEVA

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
1	1223G0001X	General Practice Dentistry	DN10000427	MA

General Provider Information

NPI Number	:	1558004549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERKINA SARTBAEVA

Provider Business Mailing Address
First Line	:	10 NEW ST APT 905
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02128-2389
Country	:	US
Telephone Number	:	203-571-8034
Fax Number	:

Provider Business Practice Location Address
First Line	:	990 PARADISE RD STE 2C
Second Line	:
City	:	SWAMPSCOTT
State	:	MA
Zip	:	01907-1309
Country	:	US
Telephone Number	:	781-384-6646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	10/10/2024

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Directions to “ ERKINA SARTBAEVA ” Practice Location

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