Individual
GLADYS G. CARRASCO ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 WALNUT STREET, CHELSEA, MA 02150
(617) 889-2864
Mailing address
2 INWOOD DR APT 1005, WOBURN, MA 01801-5279
(617) 270-1405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DF11267
MA
1223P0221X
Pediatric Dentistry
Primary
016.0133993
VT
Other
Enumeration date
02/21/2018
Last updated
02/22/2022
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