Provider Demographics
NPI:1851431027
Name:DACI, INA (DMD)
Entity Type:Individual
Prefix:MRS
First Name:INA
Middle Name:
Last Name:DACI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661C BOSTON POST RD E
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3732
Mailing Address - Country:US
Mailing Address - Phone:508-485-1114
Mailing Address - Fax:508-480-8434
Practice Address - Street 1:661C BOSTON POST RD E
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3732
Practice Address - Country:US
Practice Address - Phone:508-485-1114
Practice Address - Fax:508-480-8434
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice