Individual
JEREMY RICHARD KERNITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 E NEWTON ST OFC 217, BOSTON, MA 02118-2308
(617) 638-4762
Mailing address
660 WASHINGTON ST APT 25P, BOSTON, MA 02111-3232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL13741
MA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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