Individual
EVA MANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
39 MARLBOROUGH ST, BOSTON, MA 02116-2149
(185) 726-6652
Mailing address
39 MARLBOROUGH ST, BOSTON, MA 02116-2149
(185) 726-6652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21226
MA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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