Individual
JESSICA PIERRE-PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH1412100-L
MA
124Q00000X
Dental Hygienist
Primary
DH89261
MA
Other
Enumeration date
12/11/2017
Last updated
10/09/2019
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