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Individual

DR. PAUL ROBERT COGLIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
105 ATLANTIC AVE, MERCANTILE WHARF BUILDING, BOSTON, MA 02110-3702
(617) 742-5560
(617) 742-5562
Mailing address
105 ATLANTIC AVE, MERCANTILE WHARF BUILDING, BOSTON, MA 02110-3702
(617) 742-5560
(617) 742-5562

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13379
MA

Other

Enumeration date
02/04/2007
Last updated
07/08/2007
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