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Organization

WEST BOYLSTON DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FELIPE AVERY -MIRANDA DDS (OWNER)
(617) 669-9664
Entity
Organization

Contact information

Practice address
71 CENTRAL ST, WEST BOYLSTON, MA 01583-1689
(508) 835-3146
Mailing address
71 CENTRAL ST, WEST BOYLSTON, MA 01583-1689
(508) 835-3146

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/29/2019
Last updated
05/29/2019
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