Individual
DR. ERIC JORDAN NOVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, DEPT OF ENDODONTICS, BOSTON, MA 02111-1527
(617) 636-6796
Mailing address
28 EXETER ST, APT. 204, BOSTON, MA 02116-2841
(732) 239-7627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855640
MA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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