LUIS ANTONIO MENDIETA

BOSTON, MA
NPI1144065244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  42595)
Enumeration Date2024-06-28
Last Update Date2026-08-25
Business Address
LUIS ANTONIO MENDIETA
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 617-636-6828
Mailing Address
LUIS ANTONIO MENDIETA
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 617-636-6828
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