Individual
DAFJOLA BEJLERAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 HIGH ST STE 333, BOSTON, MA 02110-1672
(617) 482-2500
(875) 991-1761
Mailing address
10 HIGH ST STE 333, BOSTON, MA 02110-1672
(617) 482-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7452
NV
122300000X
Dentist
DN1858839
MA
1223G0001X
General Practice Dentistry
DN1858839
MA
Other
Enumeration date
10/03/2020
Last updated
09/08/2022
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