| Back Bay Dental Care | |
|
21 Bay State Rroad Boston MA 02215 | |
| (617) 247-9966 | |
| (617) 266-0679 |
| Full Name | Back Bay Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21 Bay State Rroad, Boston, Massachusetts |
| Authorized Official Name and Position | Jack J Klausner (OWNER) |
| Authorized Official Contact | 6172479966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back Bay Dental Care 21 Bay State Rd Boston MA 02215-2101 Ph: (617) 247-9096 | Back Bay Dental Care 21 Bay State Rroad Boston MA 02215 Ph: (617) 247-9966 |
| NPI Number | 1326121138 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326121138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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