Individual
DR. JOSHUA KRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1790
(617) 432-0901
Mailing address
78 MAPLE ST, NEEDHAM, MA 02492-2307
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN1856034
MA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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