Individual
NELISE J MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1600
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1600
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DA16656
MA
Other
Enumeration date
01/21/2022
Last updated
01/15/2024
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