| Ace Dental West Roxbury, Pllc | |
|
1840 Centre St West Roxbury MA 02132-1901 | |
| (617) 327-5700 | |
| Not Available |
| Full Name | Ace Dental West Roxbury, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1840 Centre St, West Roxbury, Massachusetts |
| Authorized Official Name and Position | Shawn Kim (MANAGER) |
| Authorized Official Contact | 6173615020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Dental West Roxbury, Pllc 1138 River St Hyde Park MA 02136-2970 Ph: (617) 361-5020 | Ace Dental West Roxbury, Pllc 1840 Centre St West Roxbury MA 02132-1901 Ph: (617) 327-5700 |
| NPI Number | 1679225114 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679225114 | NPI | - | NPPES |
| DN1856147 | Other | MA | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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