Individual
ANN MARIE DEMERANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
114 WALTHAM ST, LEXINGTON, MA 02421-5415
(781) 862-0350
(781) 862-1803
Mailing address
45 COMMERCIAL WHARF, BOSTON, MA 02110-3801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15001
MA
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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