Provider Demographics
NPI:1548389406
Name:MILAVEC, JOSEPH JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JAMES
Last Name:MILAVEC
Suffix:
Gender:M
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:388 COMMONWEALTH AVE
Mailing Address - Street 2:OFFICE SUITE #L3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-2800
Mailing Address - Country:US
Mailing Address - Phone:617-266-8404
Mailing Address - Fax:617-266-9530
Practice Address - Street 1:388 COMMONWEALTH AVE
Practice Address - Street 2:OFFICE SUITE #L3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-2800
Practice Address - Country:US
Practice Address - Phone:617-266-8404
Practice Address - Fax:617-266-9530
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA172321223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics