ITALLO EMIDIO LIRA VIANA

BOSTON, MA
NPI1144060658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  DF12023)
Enumeration Date2024-05-31
Last Update Date2024-05-31
Business Address
Dr. ITALLO EMIDIO LIRA VIANA DDS, MSc, PhD
25 MORRISSEY BLVD UNIT 1205
BOSTON, MA 02125-3355
Phone number: 857-313-5993
Mailing Address
Dr. ITALLO EMIDIO LIRA VIANA DDS, MSc, PhD
25 MORRISSEY BLVD UNIT 1205
BOSTON, MA 02125-3355
Phone number: 857-313-5993