Individual
DR. LAURA AMELIA IMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
315 NORWOOD PARK S, NORWOOD, MA 02062-4681
(781) 349-4750
Mailing address
315 NORWOOD PARK S, NORWOOD, MA 02062-4681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20460
MA
Other
Enumeration date
10/03/2006
Last updated
01/27/2021
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