Individual
KOZETA DURISHTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 CHELSEA ST APT 2, EAST BOSTON, MA 02128-4340
(351) 201-7858
Mailing address
189 CHELSEA ST APT 2, EAST BOSTON, MA 02128-4340
(351) 201-7858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859999
MA
Other
Enumeration date
03/10/2023
Last updated
10/13/2023
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