Individual
DR. ALEXA DIANE KILICHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
124 COLLEGE AVE, SOMERVILLE, MA 02144-1962
(617) 625-0543
Mailing address
460 HARRISON AVE UNIT 313, BOSTON, MA 02118-2786
(813) 785-5516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859446
MA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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