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Individual

DANI STANBOULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
542 RIVER STREET, MATTAPAN, MA 02126
(617) 322-9773
Mailing address
542 RIVER STREET, MATTAPAN, MA 02126
(617) 322-9773

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000425
MA

Other

Enumeration date
03/14/2023
Last updated
10/29/2024
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