Individual
DR. NICHOLAS RAY BALDELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4700
Mailing address
199 MASSACHUSETTS AVE, APT. 205, BOSTON, MA 02115-3051
(401) 474-1613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL11950
MA
Other
Enumeration date
07/01/2013
Last updated
07/05/2013
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