DR. Manuel I Molina, D.M.D

NPI #1366691370 in Roxbury, Massachusetts

Provider Information

NPI Number: 1366691370
Entity Type: Individual
Name: DR. Manuel I Molina, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: D.M.D
Enumeration Date: Sep 15, 2008
Last Updated: Sep 15, 2008

Practice Location

Address: 1125 TREMONT STREET
City: Roxbury
State: Massachusetts
ZIP Code: 02120
Phone: (617) 427-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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