Magnolia Venegas, DMD | |
10 Gove St, East Boston, MA 02128-1920 | |
(617) 569-5800 | |
(617) 568-4780 |
Full Name | Magnolia Venegas |
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Gender | Female |
Speciality | Dentist - Pediatric Dentistry |
Location | 10 Gove St, East Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942225891 | NPI | - | NPPES |
0276855 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 18075 (Massachusetts) | Primary |
Entity Name | Internal Medical Associates-ebnhc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
Entity Name | Trustees Of Boston University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400 |
Mailing Address | Practice Location Address |
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Magnolia Venegas, DMD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Magnolia Venegas, DMD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Dr. Sumati Bhalla, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 Maverick Sq, East Boston, MA 02128 Phone: 617-569-5800 | |
Dr. Donna Louise Calsimitto, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 London St, East Boston, MA 02128 Phone: 617-568-9077 Fax: 617-568-9077 | |
Dr. John Francis Lyons Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12 Bennington St, 2nd Floor, East Boston, MA 02128 Phone: 617-561-7600 | |
Dr. Nidhi Gehlot, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 55 Meridian Street, East Boston, MA 02128 Phone: 630-935-6820 | |
Dr. Garima Rana, Dentist Medicare: Not Enrolled in Medicare Practice Location: 45 Maverick Sq, East Boston, MA 02128 Phone: 617-567-3800 Fax: 617-567-3802 | |
Dr. Andre Zelikov, DMD Dentist Medicare: Medicare Enrolled Practice Location: 55 Meridian St, East Boston, MA 02128 Phone: 617-567-1300 | |
Amit Mehra, DMD Dentist Medicare: Medicare Enrolled Practice Location: 55 Meridian St, East Boston, MA 02128 Phone: 617-567-1300 |