Individual
NELSYS LUCIANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3293
(617) 825-3400
Mailing address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3293
(617) 825-3400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL16012
MA
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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