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Individual

DR. INGRID PENA DE CARRENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
100 AMESBURY ST, LAWRENCE, MA 01840-1321
(978) 686-8500
(978) 686-1592
Mailing address
1 WHITNEY CT, METHUEN, MA 01844-7120
(978) 686-3577

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855829
MA

Other

Enumeration date
10/25/2011
Last updated
10/25/2011
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