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Individual

DR. SKYLAR PENBERTHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
635 ALBANY ST, BOSTON, MA 02118-0211
(617) 358-8300
Mailing address
635 ALBANY ST, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D-5099
ID
122300000X
Dentist
Primary
DN1858679
MA

Other

Enumeration date
12/13/2019
Last updated
11/12/2020
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