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Organization

IRAYS SANTAMARIA DMD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IRAYS SANTAMARIA DMD (OWNER)
(617) 437-1520
Entity
Organization

Contact information

Practice address
396 COMMONWEALTH AVE, SUITE 103A, BOSTON, MA 02215-2823
(617) 437-1520
(617) 236-1478
Mailing address
396 COMMONWEALTH AVE, SUITE 103A, BOSTON, MA 02215-2823
(617) 437-1520
(617) 236-1478

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1223P0300X
Periodontics
1223P0700X
Prosthodontics
Primary
21076
MA

Other

Enumeration date
06/24/2013
Last updated
08/22/2013
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