Individual
JUAN CARLOS PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
250 MOUNT VERNON ST, DORCHESTER, MA 02125-3120
(617) 288-1140
Mailing address
250 MOUNT VERNON ST, DORCHESTER, MA 02125-3120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11033
MA
Other
Enumeration date
08/02/2010
Last updated
10/29/2010
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