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Dr. Raktim Ghatak, DDS
Pediatric Dentist in Boston, Massachusetts
NPI 1609127562

Raktim Ghatak is a Pediatric Dentist based in Boston, MA and is specialized in Pediatric Dentistry. Raktim Ghatak practices in Boston, MA and has the professional credentials of DDS. The NPI Number for Raktim Ghatak is 1609127562 and holds a License No. DL11632 (Massachusetts).

The current practice location address for Raktim Ghatak is 100 E Newton St, Boston, MA and can be reached out via phone at 617-414-4046.

Location: 100 E Newton St, Boston, MA, 02118-2308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609127562
Provider Name
Raktim Ghatak
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
100 E Newton St, Boston, MA, 02118-2308
Phone Number
617-414-4046
Fax Number
Provider Enumeration Date
10/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 E Newton St
City
Boston
State
Massachusetts
Zip
02118-2308
Phone Number
617-414-4046
Fax Number
person
Provider Business Mailing Address Details
Address
100 E Newton St
City
Boston
State
Massachusetts
Zip
02118-2308
Phone Number
617-414-4046
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DL11632 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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