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Individual

DR. ELIZA JANE GOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
104 MILK STREET, BOSTON, MA 02109
(617) 542-8808
Mailing address
2 LIBERTY SQ FL 1, BOSTON, MA 02109-4884
(617) 542-8808

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859354
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN1859354
DPH
MA
Enumeration date
05/31/2019
Last updated
06/09/2022
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