Individual
DR. MIRIAN ELENA BELUSSI-CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 KNEELAND ST, 8TH FL, BOSTON, MA 02111
(617) 636-6828
Mailing address
200 HARRISON AVE, 2ND FL, BOSTON, MA 02111
(617) 636-0451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DF11239
MA
Other
Enumeration date
06/25/2015
Last updated
10/25/2017
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