Individual
COLLEEN ELIZABETH YAZGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
97 NEPONSET AVE, DORCHESTER, MA 02122-3322
(617) 265-6556
Mailing address
95 WALTHAM ST APT 5, BOSTON, MA 02118-3670
(201) 970-8116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857653
MA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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