Individual
SAMANTHA ANNE PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 POST OFFICE SQ, BOSTON, MA 02109-3900
(617) 542-8808
Mailing address
386 COMMONWEALTH AVE APT 42, BOSTON, MA 02215-2837
(347) 257-2326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858528
MA
Other
Enumeration date
06/14/2018
Last updated
01/27/2020
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