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1134348006
IGOR ALEXIS LOZADA
BROOKLINE, MA
NPI
1134348006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: MA 20430)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Dr. IGOR ALEXIS LOZADA
1297 BEACON ST
BROOKLINE, MA 02446-5242
Phone number: 617-566-1524
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Mailing Address
Dr. IGOR ALEXIS LOZADA
1731 BEACON ST APT # 1503
BROOKLINE, MA 02445-5350
Phone number: 617-877-1093
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