NPI 1467771592

Special Effect Hair Studio

Organisation Prosthetic/Orthotic Supplier Dorchester, MA

Practice location

Address: 1454 Dorchester Ave, Dorchester, MA 02122-1343
Phone: (617) 265-0669

Authorised official

Name: Erika R Sanders
Title: Cosmetologist
Phone: (617) 265-0669

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 1122002 (MA)

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Registry record

NPI: 1467771592
Entity type: Organization
NPI issued: 28 May 2010
Record last updated: 28 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.