Individual provider · Type 1 NPI

Ismael Velasco, DMD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1710722186 Active

Practice location

635 Albany St
Boston, MA 02118-3550

Call (617) 358-8300 Map

Mailing address

223 Boston St
Boston, MA 02125-1615

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDN10000750 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710722186

Ismael Velasco, DMD's National Provider Identifier is 1710722186, issued on Jun 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Oct 21, 2026.