Individual
MARY MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 427-1000
Mailing address
55 DAVID TER APT 16, NORWOOD, MA 02062-3967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL100787
MA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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