Individual
DR. REYNALDO CHRISTY RIBOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12 GRANT ST UNIT 2, DORCHESTER, MA 02125-1223
(347) 217-7963
Mailing address
12 GRANT ST UNIT 2, DORCHESTER, MA 02125-1223
(347) 217-7963
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858876
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1858876
DENTAL LICENSE NUMBER
MA
Enumeration date
05/26/2020
Last updated
12/01/2020
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