Individual
BORIS BACANURSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
140 SCHOOL ST, REVERE, MA 02151-3013
(781) 289-0839
(781) 286-1949
Mailing address
175 ADAMS ST, APT. 40, NEWTON, MA 02458-1200
(617) 795-0942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21583
MA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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