Individual
DR. NICHOLAS JAMES BOUTSELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
381R MAIN STREET, TEWKSBURY, MA 01876
(978) 640-1114
(978) 640-1117
Mailing address
381R MAIN STREET, TEWKSBURY, MA 01876
(978) 640-1114
(978) 640-1117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18573
MA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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