Individual
ADRIANA CAROLINA VALERY LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
100 E NEWTON ST, SUITE 217, BOSTON, MA 02118-2308
(305) 924-2970
Mailing address
100 E NEWTON ST, SUITE 217, BOSTON, MA 02118-2308
(305) 924-2970
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL12208
MA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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