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Magnolia Venegas, DMD
Pediatric Dentist in East Boston, Massachusetts
NPI 1942225891

Magnolia Venegas is a Pediatric Dentist based in East Boston, MA and is specialized in Pediatric Dentistry. Magnolia Venegas practices in East Boston, MA and has the professional credentials of DMD. The NPI Number for Magnolia Venegas is 1942225891 and holds a License No. 18075 (Massachusetts).

The current practice location address for Magnolia Venegas is 10 Gove St, East Boston, MA and can be reached out via phone at 617-569-5800 and via fax at 617-568-4780.

Location: 10 Gove St, East Boston, MA, 02128-1920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942225891
Provider Name
Magnolia Venegas
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA, 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0276855 05 MD
institution
Provider Business Practice Location Address Details
Address
10 Gove St
City
East Boston
State
Massachusetts
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
person
Provider Business Mailing Address Details
Address
10 Gove St
City
East Boston
State
Massachusetts
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
18075 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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