Individual
MARY VIRGINIA KARISH-DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111
(617) 636-6833
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17063
MA
Other
Enumeration date
09/13/2006
Last updated
07/15/2019
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