Individual
JULIA SIVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, DEPARTMENT OF PERIODONTOLOGY, 2ND FLOOR, BOSTON, MA 02111-1527
(617) 636-6531
(617) 636-0911
Mailing address
1 KNEELAND ST, DEPARTMENT OF PERIODONTOLOGY, 2ND FLOOR, BOSTON, MA 02111-1527
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21486
MA
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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