Organization
MARIE B JEAN-MARY DMD LLC
Active
Other names
Alegria Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE B JEAN-MARY (OWNER/CEO)
(617) 868-2545
Entity
Organization
Contact information
Practice address
1058 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1407
(617) 868-2545
Mailing address
1058 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1407
(617) 868-2545
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18588
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100017A
—
MA
Enumeration date
02/28/2018
Last updated
02/28/2018
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