Individual
MA LETICIA RODRIGUEZ VARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 NEWBURY ST APT 8, BOSTON, MA 02115-2848
(617) 990-7198
(617) 636-0911
Mailing address
302 NEWBURY ST APT 8, BOSTON, MA 02115-2848
(617) 990-7198
(617) 636-0911
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10530
MA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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