Individual
GENEVIEVE GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
166 PARAMOUNT DR, RAYNHAM, MA 02767-1001
(508) 880-0802
(508) 977-9997
Mailing address
13 PLAIN ST, MIDDLEBORO, MA 02346-1397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856755
MA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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