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1518936160
MARINA RUSINOVA
BOSTON, MA
NPI
1518936160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA 19132)
Enumeration Date
2006-03-16
Last Update Date
2009-04-08
Business Address
-- MARINA RUSINOVA DMD
133 BROOKLINE AVE
BOSTON, MA 02215-3904
Phone number: 617-421-1122
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Mailing Address
-- MARINA RUSINOVA DMD
147 MILK ST PROVIDER ENROLLMENT 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8051
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