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Individual

DR. ATHINA MANTZOURANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
50 LOOMIS ST, BEDFORD, MA 01730-2208
(781) 275-7072
Mailing address
27 E EMERSON ST, MELROSE, MA 02176-3520

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855825
MA

Other

Enumeration date
08/28/2011
Last updated
08/28/2011
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