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Individual

DR. PETER ALAN JEZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS PHD

Contact information

Practice address
100 EVERETT AVE, UNIT 5, CHELSEA, MA 02150
(617) 884-4444
(617) 884-4448
Mailing address
140 THE FENWAY, THE FORSYTH INSTITUTE ROOM 411, BOSTON, MA 02115
(617) 892-8491
(617) 892-8303

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21238
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0204544
MA
Enumeration date
07/26/2006
Last updated
07/08/2007
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