Individual
RAFAEL CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1290 TREMONT ST FL 2, ROXBURY, MA 02120-3432
(617) 989-3229
(617) 858-2664
Mailing address
1290 TREMONT ST FL 2, ROXBURY, MA 02120-3432
(617) 989-3229
(617) 858-2664
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DL13223
MA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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