Individual
DIANDRA FILOMENA GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
(617) 825-3400
Mailing address
1045 BELMONT ST, WATERTOWN, MA 02472-1022
(857) 316-5544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15601
MA
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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