Individual
DENISA STASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
637 WASHINGTON STREET, DENTAL DEPT, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON STREET, DENTAL DEPT, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855473
MA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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