Individual
STEVEN CHARLES MOLLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-8000
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 962-1915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17585
MA
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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