Individual
NATALIE DELIVANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6689
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
E2/12161/30.12.2008
ZZ
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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