| Apollo Dental Ass. | |
|
413 Mass Ave Cambridge MA 02139-4102 | |
| (617) 354-1678 | |
| (617) 534-2927 |
| Full Name | Apollo Dental Ass. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 413 Mass Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Dieutrang Bui (OWNER) |
| Authorized Official Contact | 6173541678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apollo Dental Ass. 413 Mass Ave Cambridge MA 02139-4102 Ph: (617) 354-1678 | Apollo Dental Ass. 413 Mass Ave Cambridge MA 02139-4102 Ph: (617) 354-1678 |
| NPI Number | 1902090632 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 06/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902090632 | NPI | - | NPPES |
| 9703195 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19385 (Massachusetts) | Primary |
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