Irina Deresh
Irina Deresh is a Dental Clinic/Center in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.
- Licensed in
- MA
- In the registry since
- 2008
Practice location Address checks out
396 Commonwealth AveBoston, MA 02215-2823
Phone: (617) 536-7720
Fax: (617) 536-8290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 17846 (MA) |
|---|
Record details
| NPI number | 1821274044 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Irina Deresh — President · (617) 536-7720 |
| Other names | Tmd And Periodontal Associates |
| NPI enumerated | January 17, 2008 |
| Last updated in NPPES | January 17, 2008 |
| Mailing address | 396 Commonwealth Ave, Boston, MA 02215-2823 |
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