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Terisa Jose

Dentist in Manchester, NH. Individual provider (NPI-1).

NPI number1467191007
StatusActive
Last updated in NPPESMar 10, 2026

Details

NPI
1467191007
Entity type
Individual (NPI-1)
Name
Terisa Jose
Sex
Female
Sole proprietor
No
Enumeration date
Jun 1, 2022
Certification date
Mar 10, 2026
Last updated
Mar 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist04800NHYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

8 Vinton St
Manchester, NH 03103-3928

Phone 603-541-4744

Mailing address

59 Safford St
Quincy, MA 02170-1007

Phone 347-479-5629

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