Marilyn Rivero Koutrakis

NPI #1114104510 in Framingham, Massachusetts

Provider Information

NPI Number: 1114104510
Entity Type: Organization
Organization Name: Marilyn Rivero Koutrakis
Primary Specialty: Dentist
Enumeration Date: Jan 28, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 235 WALNUT STREET
City: Framingham
State: Massachusetts
ZIP Code: 01702
Phone: (508) 872-4848

Authorized Official

Name: DR. MARILYN RIVERO KOUTRAKIS, D.M.D.
Title: DENTIST
Phone: (508) 872-4848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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