Individual provider · Type 1 NPI

Ryan Matthew Quelle, STUDENT DMD

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

NPI number 1992550081 Active

Practice location

1 Kneeland St
Boston, MA 02111-1527

Call (617) 636-6828 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1992550081

Ryan Matthew Quelle, STUDENT DMD's National Provider Identifier is 1992550081, issued on Apr 22, 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 Apr 22, 2024.