Dr. Ross U. Icyda D.M.D.
Dentist in Boston, MA(View on Map)
Full Name
Dr. Ross Usa Icyda D.M.D.
NPI Number
1205179421
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/05/2013
Specialties
(Taxonomies)Licenses
State
Florida
Massachusetts
Oregon
License Number
DN 19965
DN1856767
D9790
Contact
Information
Purpose
Mailing
Location
Address
165 CAMBRIDGE ST
165 CAMBRIDGE ST
City
Boston
Boston
State
MA
MA
Postal Code
02114-2750
02114-2783
Country
US
US
Telephone Number
(617) 335-8646
(617) 726-1076
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/19/2016