An An
An An is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.
- Licensed in
- MA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
32 Tremont StBoston, MA 02108-3201
Phone: (617) 681-4188
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN1859468 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1912641457 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 21, 2022 |
| Last updated in NPPES | September 16, 2023 |
| Certification date | September 16, 2023 |
| Mailing address | 32 Tremont St, Boston, MA 02108-3201 |
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