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NPI Code Detail

MEDICARE: DR. CATALINA OSSES ALBORNOZ DDS

MEDICARE: DR. CATALINA OSSES ALBORNOZ DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program13107CT
21223G0001XGeneral Practice DentistryDN1860010MA

General Provider Information

NPI Number : 1164007811
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATALINA OSSES ALBORNOZ DDS
Provider Business Mailing Address
First Line : 65 HIGH ST APT 110
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-2637
Country : US
Telephone Number : 860-328-6858
Fax Number :
Provider Business Practice Location Address
First Line : 1201 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1293
Country : US
Telephone Number : 978-455-7056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2021
Last Update Date : 10/20/2023

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