Individual
ASTRID CAROLINA PENA REIMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 783-0500
Mailing address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 783-0500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15970
MA
Other
Enumeration date
02/09/2024
Last updated
02/22/2024
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