Individual
PRYSCILLA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(619) 623-5456
Mailing address
371 COMMONWEALTH AVE UNIT 409, BOSTON, MA 02115-1818
(619) 623-5456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL1860036
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2023
Last updated
03/28/2024
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