Individual
DR. DANIELLE ALEXIS DORREGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
590 CENTRE ST APT 4, JAMAICA PLAIN, MA 02130-2594
(786) 512-9937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858073
MA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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