Individual
ANNE ISABELLE RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
793 CENTRE ST, JAMAICA PLAIN, MA 02130-2736
(617) 522-1970
Mailing address
17 IRVING ST APT 8, BOSTON, MA 02114-3816
(978) 289-2030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DL14436
MA
1223G0001X
General Practice Dentistry
Primary
DN1895040
MA
Other
Enumeration date
03/19/2020
Last updated
08/23/2021
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