CLAYTON ANTHONY LIESEN

BOSTON, MA
NPI1528559275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  DN1858010)
Enumeration Date2018-05-29
Last Update Date2018-10-12
Business Address
Dr. CLAYTON ANTHONY LIESEN DMD
188 LONGWOOD AVE
BOSTON, MA 02115-5819
Phone number: 617-432-1434
Mailing Address
Dr. CLAYTON ANTHONY LIESEN DMD
5137 BENZ RD
QUINCY, IL 62305-8213
Phone number: 217-242-7076
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