IRINA DERESH

NPI # 

Practice Address:

396 Commonwealth Ave

Boston, MA, 02215-2823

Practice Phone:

617-536-7720

Practice Fax:

617-536-8290

License Number:

17846

License State:

MA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X

Updated by NPPES on 1/17/2008. You can view the original data set for NPI # 1821274044 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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IRINA DERESH's

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