Individual
DR. MICHAEL CRISANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4750
Mailing address
45 E NEWTON ST, APT 312, BOSTON, MA 02118-4802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12029
MA
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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