Individual
DR. PETER CHARLES GRIECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(551) 486-5453
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(551) 486-5453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11376
MA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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