DR. ALEXANDER JELICICH, DMD
Dentist - Prosthodontics
Active
Individual
NPI: 1528598299
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | DN1857626 (MA) |
| Dentist - General Practice | 1223G0001X | No | DN1857626 (MA) |
| Dentist - Prosthodontics | 1223P0700X | Yes | DN1857626 (MA) |
Frequently Asked Questions
NPI 1528598299 is the National Provider Identifier for DR. ALEXANDER JELICICH, DMD, a Dentist - Prosthodontics provider located in Boston, MA. This NPI was enumerated on June 15, 2017.
DR. ALEXANDER JELICICH, DMD practices at 188 LONGWOOD AVE, Boston, MA 02115.
Quick Facts
- NPI
- 1528598299
- Type
- Individual
- Enumerated
- Jun 15, 2017
- Last Updated
- Jun 15, 2017
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