| Magnolia Venegas, DMD | |
|
10 Gove St, East Boston, MA 02128-1920 | |
| (617) 569-5800 | |
| (617) 568-4780 |
| Full Name | Magnolia Venegas |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10 Gove St, East Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942225891 | NPI | - | NPPES |
| 0276855 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18075 (Massachusetts) | Primary |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | Trustees Of Boston University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Venegas, DMD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Magnolia Venegas, DMD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Dr. Sumati Bhalla, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 Maverick Sq, East Boston, MA 02128 Phone: 617-569-5800 | |
Dr. Donna Louise Calsimitto, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 London St, East Boston, MA 02128 Phone: 617-568-9077 Fax: 617-568-9077 | |
Dr. John Francis Lyons Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12 Bennington St, 2nd Floor, East Boston, MA 02128 Phone: 617-561-7600 | |
Dr. Nidhi Gehlot, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 55 Meridian Street, East Boston, MA 02128 Phone: 630-935-6820 | |
Dr. Garima Rana, Dentist Medicare: Not Enrolled in Medicare Practice Location: 45 Maverick Sq, East Boston, MA 02128 Phone: 617-567-3800 Fax: 617-567-3802 | |
Umuhire Ntabana, Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 Maverick Sq, East Boston, MA 02128 Phone: 617-568-4872 | |
Dr. Andre Zelikov, DMD Dentist Medicare: Medicare Enrolled Practice Location: 55 Meridian St, East Boston, MA 02128 Phone: 617-567-1300 |