Individual
CHARLOTTE PASCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFICATE
Contact information
Practice address
14 VFW PKWY, WEST ROXBURY, MA 02132-7723
(774) 826-1205
Mailing address
14 VFW PKWY, WEST ROXBURY, MA 02132-7723
(774) 826-1205
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1993
SELF
—
Enumeration date
03/05/2019
Last updated
03/05/2019
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