JOMARC DASALLA
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1558106922- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1 KNEELAND ST # 1005, BOSTON, MA, 021111527
- Phone
- (617) 636-6828
Specialties & Taxonomies
Dentist
License: HI #DT-3304
Student in an Organized Health Care Education/Training Program
Primary