Individual
DR. MARY LICKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11 STRAWBERRY BANK RD, APT 18, NASHUA, NH 03062-2766
(603) 264-1785
Mailing address
1244 BOYLSTON ST STE 205, CHESTNUT HILL, MA 02467-2115
(617) 735-0800
(617) 735-0801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17589
MA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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