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Individual

TERISA JOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8 VINTON ST, MANCHESTER, NH 03103-3928
(603) 541-4744
Mailing address
59 SAFFORD ST, QUINCY, MA 02170-1007
(347) 479-5629

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04800
NH
122300000X
Dentist
Primary
DN1859421
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/01/2022
Last updated
03/10/2026
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