Most Relevant Information
Provider Data
| NPI Number: | 1003212838 |
| Provider Name: | LOUISE NALLY |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 5337 |
Most Important Dates
| Enumeration Date: | 11/05/2014 |
| Last Updated: | 11/05/2014 |
Provider Practice Location
158 OLD WESTMINSTER RD
HUBBARDSTON
MA
014521419
Practice Location Phone/Fax
| Phone: | 9788521221 |
| Fax: |
Provider Mailing Location
158 OLD WESTMINSTER RD
HUBBARDSTON
MA
014521419
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |