Organization · Type 2 NPI
Irina Deresh
Dental Clinic/Center · Boston, MA
NPI number
1821274044
Active
Practice location
396 Commonwealth Ave
Boston, MA 02215-2823
Fax (617) 536-8290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 17846 (MA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1821274044
Irina Deresh's National Provider Identifier is 1821274044, issued on Jan 17, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boston, MA. The record was last updated on Jan 17, 2008.