Individual
DANIELA GHOBRIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
612 CENTRE ST, JAMAICA PLAIN, MA 02130-2552
(617) 379-1965
Mailing address
612 CENTRE ST, JAMAICA PLAIN, MA 02130-2552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1858753
MA
Other
Enumeration date
07/20/2020
Last updated
11/01/2021
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