Individual
MRS. JESSICA DISPENA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
859 WASHINGTON STREET, HOLLISTON, MA 01746
(508) 429-4445
(508) 429-0853
Mailing address
19 WHITTIER ROAD, WELLESLEY, MA 02481
(617) 548-3837
(508) 429-0853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21344
MA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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