Individual
THAISA BARIZAN BORDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MORTON ST APT 50, BOSTON, MA 02130-3754
(617) 608-8447
Mailing address
100 MORTON ST APT 50, BOSTON, MA 02130-3754
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DF11223
MA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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