Individual
ERENY MICHEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 FRENCH ST APT 14, QUINCY, MA 02171-3040
(161) 548-1347
Mailing address
40 FRENCH ST APT 14, QUINCY, MA 02171-3040
(161) 548-1347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
000
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
05/31/2022
Last updated
06/02/2022
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