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Individual

JACQUELINE BIRNHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1180 BEACON ST, NEWTON, MA 02461-1103
(671) 527-6061
Mailing address
1180 BEACON ST, NEWTON, MA 02461-1103
(671) 527-6061

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16780
MA

Other

Enumeration date
03/08/2007
Last updated
11/16/2010
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