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1144060658
ITALLO EMIDIO LIRA VIANA
BOSTON, MA
NPI
1144060658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA DF12023)
Enumeration Date
2024-05-31
Last Update Date
2024-05-31
Business Address
Dr. ITALLO EMIDIO LIRA VIANA DDS, MSc, PhD
25 MORRISSEY BLVD UNIT 1205
BOSTON, MA 02125-3355
Phone number: 857-313-5993
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Mailing Address
Dr. ITALLO EMIDIO LIRA VIANA DDS, MSc, PhD
25 MORRISSEY BLVD UNIT 1205
BOSTON, MA 02125-3355
Phone number: 857-313-5993
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