Individual
PERICHOLE LYN EILERS FURGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
190 MOUNT AUBURN ST, WATERTOWN, MA 02472-4046
(585) 703-6046
Mailing address
190 MOUNT AUBURN ST, WATERTOWN, MA 02472-4046
(585) 703-6046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857310
MA
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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