Provider Demographics
NPI:1922164391
Name:SHLOSMAN, NATALIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:SHLOSMAN
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 1:32 STEDMAN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6009
Mailing Address - Country:US
Mailing Address - Phone:617-734-3535
Mailing Address - Fax:
Practice Address - Street 1:1256 PARK ST
Practice Address - Street 2:SUITE 203
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-3745
Practice Address - Country:US
Practice Address - Phone:781-341-5300
Practice Address - Fax:781-341-1211
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA196861223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics