Individual
DR. MARIANNE JURASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 E NEWTON ST, G 619, BOSTON, MA 02118-2308
(617) 638-5209
Mailing address
100 E NEWTON ST, G 619, BOSTON, MA 02118-2308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18754
MA
Other
Enumeration date
05/09/2008
Last updated
02/05/2010
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