Dr. Alexander A. Jelicich DMD
Prosthodontist in Boston, MA(View on Map)
Full Name
Dr. Alexander Albert Joseph Jelicich DMD
NPI Number
1528598299
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/15/2017
Specialties
(Taxonomies)Code
1223P0700X
122300000X
1223G0001X
Primary Taxonomy
Yes
No
No
Licenses
State
Massachusetts
License Number
DN1857626
Contact
Information
Purpose
Mailing
Location
Address
1365 BOYLSTON ST UNIT 1151
188 LONGWOOD AVE
City
Boston
Boston
State
MA
MA
Postal Code
02215-3919
02115-5819
Country
US
US
Telephone Number
(916) 605-9146
(617) 432-1434
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/15/2017
Provider Address
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