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Individual

JIMMY SAMUEL ALBURQUERQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
459 BROADWAY STE 1, EVERETT, MA 02149-3614
(617) 389-2005
Mailing address
26 WORCESTER ST APT 203, BOSTON, MA 02118-3376
(407) 724-2020

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858484
MA

Other

Enumeration date
09/30/2019
Last updated
09/30/2019
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