Individual
PRECIOUS BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8680 RACHEL FREEMAN WAY STE A, CHARLOTTE, NC 28278-9567
(980) 270-6511
Mailing address
8680 RACHEL FREEMAN WAY STE A, CHARLOTTE, NC 28278-9567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12054
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
08/30/2021
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