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Individual

DR. JASMIN LOREN HENVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-2291
Mailing address
50 SILVER HILL LN APT 1, NATICK, MA 01760-3742
(508) 269-0556

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9524
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000000000
CURRENTLY A GENERAL PRACTICE DENTAL RESIDENT
MA
Enumeration date
04/24/2008
Last updated
04/24/2008
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