Individual
GRECIA C SUCRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 E NEWTON ST, 7TH FLOOR, BOSTON, MA 02118-2308
(617) 638-4670
(617) 638-5322
Mailing address
100 E NEWTON ST, 7TH FLOOR, BOSTON, MA 02118-2308
(617) 638-4670
(617) 638-5322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL12986
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL12986
LIMITED LICENSE
MA
Enumeration date
07/11/2016
Last updated
07/11/2016
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