Individual
DR. MARYAM JESSRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S, PH.D
Contact information
Practice address
1620 TREMONT ST, ORAL MEDICINE AND DENTISTRY, SUITE BC-3-028, BOSTON, MA 02120-1613
(617) 732-6684
Mailing address
1575 TREMONT ST, APT 512, BOSTON, MA 02120-1677
(617) 416-8381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12659
MA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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