Vicente Vera
Vicente Vera is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1 Kneeland StBoston, MA 02111-1527
Phone: (617) 636-6828
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Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence DL15462 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence DL15462 (MA) |
Record details
| NPI number | 1871294942 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2023 |
| Last updated in NPPES | March 15, 2023 |
| Certification date | March 15, 2023 |
| Mailing address | 1 India St Apt 11a, Boston, MA 02109-3309 |
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