Individual
DR. RICARDO LAZARO PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KNEELAND ST DEPT, BOSTON, MA 02111-1527
(617) 372-1143
Mailing address
665 WASHINGTON ST UNIT 1203, BOSTON, MA 02111-1644
(617) 372-1143
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7772
ZZ
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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