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1467653527
IRINA DERESH
BROOKLINE, MA
NPI
1467653527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MA 17846)
Enumeration Date
2007-05-29
Last Update Date
2007-07-09
Business Address
Dr. IRINA DERESH DMD
1720 BEACON ST
BROOKLINE, MA 02445-2122
Phone number: 617-734-5516
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Mailing Address
Dr. IRINA DERESH DMD
1720 BEACON ST
BROOKLINE, MA 02445-2122
Phone number: 617-734-5516
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