Individual
VICKIBELLE JAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 JACKSON ST, 3, METHUEN, MA 01844
(347) 286-6002
Mailing address
635 ALBANY ST, BOSTON, MA 02118-3550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859997
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2023
Last updated
10/12/2023
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