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NPI Code Detail

MEDICARE: DR. JOSE GILBERTO ARCINIEGAS DDS,MPH

MEDICARE:  DR. JOSE GILBERTO ARCINIEGAS  DDS,MPH
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
11223G0001XGeneral Practice Dentistry9164MA

General Provider Information

NPI Number : 1649353061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE GILBERTO ARCINIEGAS DDS,MPH
Provider Business Mailing Address
First Line : 15 HARBOR POINT BLVD APT 304
Second Line :
City : DORCHESTER
State : MA
Zip : 02125-3204
Country : US
Telephone Number : 617-283-1560
Fax Number :
Provider Business Practice Location Address
First Line : 636 COLUMBIA RD
Second Line :
City : DORCHESTER
State : MA
Zip : 02125-3416
Country : US
Telephone Number : 617-825-9839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOSE GILBERTO ARCINIEGAS DDS,MPH” Practice Location

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