Individual
AMULYA JAYANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 ESSEX ST, LAWRENCE, MA 01840-1549
(978) 837-4444
Mailing address
76 E BROOKLINE ST, APT 2, BOSTON, MA 02118-2302
(312) 860-7102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856064
MA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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