Individual
MARIE B JEAN MARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
763 MASSACHUSETTS AVE, SUITE 1, CAMBRIDGE, MA 02139
(617) 547-1300
(617) 547-8111
Mailing address
105 MONTGOMERY ST, UNIT 2, CAMBRIDGE, MA 02140
(617) 876-5940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18588
MA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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