Provider Demographics
NPI:1891860540
Name:KALMANOVICH, ANNA Y (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:Y
Last Name:KALMANOVICH
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 1:7 KARA ANN DR
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-2641
Mailing Address - Country:US
Mailing Address - Phone:508-877-4404
Mailing Address - Fax:978-263-1404
Practice Address - Street 1:629 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:BOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01719-1528
Practice Address - Country:US
Practice Address - Phone:978-263-8950
Practice Address - Fax:978-263-1404
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry