Individual ProviderKarina CantumenjivarStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1kneelandst, Periodontics, Boston, MA 02111(617) 636-6828(956) 607-2699PECOS EnrollmentBased on the most recent information from CMS, provider Karina Cantumenjivar does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669219721Provider TypeIndividualFull NameCantumenjivar, KarinaTitleDr.CredentialDDS,MSGenderFemaleSole ProprietorYesEnumeration Date7/15/2024Last Updated7/15/2024Contact InformationPractice LocationPractice Address1kneelandst, Periodontics, Boston, MA 02111Phone(617) 636-6828FaxUnlisted FaxMailing LocationMailing Address120 Kingston St Ph 2509, Boston, MA 02111-2264Phone(956) 607-2699FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer