Individual
OLGA KRASNOSLOBODTSEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
398 BLUE HILLS PKWY, MILTON, MA 02186-2738
(617) 615-8371
Mailing address
398 BLUE HILLS PKWY, MILTON, MA 02186-2738
(617) 615-8371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856680
MA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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