Jia-Mahasap, Wissanee

Jia-Mahasap, Wissanee is an individual health care provider with primary practice located at 188 Longwood Ave , Boston MA 02115-5819. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Jia-Mahasap, Wissanee can be contacted via phone (617) 432-1434.

Contact Information

Primary practice address
188 Longwood Ave Boston MA 02115-5819
Phone: (617) 432-1434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X DF100062 Massachusetts

Profile Details

NPI number 1487057311
LBN Legal business name Jia-Mahasap, Wissanee
Credentials DDS,MS,FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2014
Last updated Apr 29th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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