Individual
MRS. MARIANNE BEAULIEU DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1213 PURCHASE ST, 1ST FLOOR, NEW BEDFORD, MA 02740-6694
(508) 991-6288
(508) 991-6291
Mailing address
1027 IVERS ST, NEW BEDFORD, MA 02745-4402
(774) 628-9878
(774) 628-9878
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4990
MA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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