Individual
DR. VIVIAN BORNFRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
875 MAIN ST, WALTHAM, MA 02451-7414
(781) 647-0772
Mailing address
245 UNDERWOOD ST, HOLLISTON, MA 01746-1660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14397
MA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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