Ilya Gregory Ginzburg DMD

NPI 1063532711 - Dentist - 1223G0001X

NPI Details
NPI 1063532711
Gender Male
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2001 BEACON ST
SUITE 102
BRIGHTON MA, 02135-7786, US
Phone (617) 232-3929
Fax (617) 734-5240
Business Location
2001 BEACON ST
SUITE 102
BRIGHTON MA, 02135-7786, US
Phone (617) 232-3929
Fax (617) 734-5240
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 16122
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According to our database, Dr. Ilya Gregory Ginzburg DMD NPI is 1063532711, taxonomy code is 1223G0001X and license number is 16122, license state is located at Massachusetts. Ilya Gregory Ginzburg DMD physically located at 2001 Beacon St, Brighton MA, 02135-7786. NPI Number Ilya Gregory Ginzburg DMD has the Individual type.

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1063532711 NPI number is provided on an as is basis without warranty of any kind. 1063532711 is maintained by the National Plan & Provider Enumeration System. The contents of Ilya Gregory Ginzburg DMD are for informational purposes only.