Edita Outericka, D.M.D.

NPI #1871649137 in Bourne, Massachusetts

Provider Information

NPI Number
1871649137
Entity Type
Individual
Name
Edita Outericka, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jan 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1 TECHNOLOGY PARK DR
City
Bourne
ZIP Code
02532-8336
Phone
(508) 759-2724

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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