Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 14003 | MA |
NPI | 1104086511 |
---|---|
Provider Name | Dr. Janet Krefting |
First Address | N Billerica, MA 01862-2300 |
Second Address | N Billerica, MA 01862-2300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 27/04/2010 |