Provider Demographics
NPI:1942279468
Name:ZALITIS, INARA E (DDS)
Entity Type:Individual
Prefix:DR
First Name:INARA
Middle Name:E
Last Name:ZALITIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:INARA
Other - Middle Name:ELGA
Other - Last Name:ZALITIS-CEZIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1840 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-1901
Mailing Address - Country:US
Mailing Address - Phone:617-327-5700
Mailing Address - Fax:
Practice Address - Street 1:1840 CENTRE ST
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-1901
Practice Address - Country:US
Practice Address - Phone:617-327-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA114891223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry