institution
Irina Deresh
Dental Clinic/Center in Boston, Massachusetts
NPI 1821274044

Irina Deresh is a Dental Clinic/Center based in Boston, MA and is specialized in Dental. Irina Deresh practices in Boston, MA. The NPI Number for Irina Deresh is 1821274044 and holds a License No. 17846 (Massachusetts).

The current practice location address for Irina Deresh is 396 Commonwealth Ave, Boston, MA and can be reached out via phone at 617-536-7720 and via fax at 617-536-8290.

Location: 396 Commonwealth Ave, Boston, MA, 02215-2823
institution
Provider Profile Details
NPI Number
1821274044
Provider Name
Irina Deresh
Credential
Provider Entity Type
Organization
Address
396 Commonwealth Ave, Boston, MA, 02215-2823
Phone Number
617-536-7720
Fax Number
617-536-8290
Provider Enumeration Date
01/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
396 Commonwealth Ave
City
State
Zip
02215-2823
Phone Number
617-536-7720
Fax Number
617-536-8290
person
Provider Business Mailing Address Details
Address
396 Commonwealth Ave
City
State
Zip
02215-2823
Phone Number
617-536-7720
Fax Number
617-536-8290
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
17846 (Massachusetts)
Definition
Definition to come...
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