Individual
MIRAY WESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
24 NORTH ST, PLYMOUTH, MA 02360-3382
(508) 746-1840
(508) 746-7318
Mailing address
24 NORTH ST, PLYMOUTH, MA 02360-3382
(508) 746-1840
(508) 746-7318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1857590
STATE
MA
Enumeration date
06/01/2017
Last updated
06/01/2017
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