| Beacon Dental Health Pc | |
|
21 Merchants Row Ste 2a Boston MA 02109-2040 | |
| (617) 418-6940 | |
| Not Available |
| Full Name | Beacon Dental Health Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 Merchants Row Ste 2a, Boston, Massachusetts |
| Authorized Official Name and Position | Rishi Shukla (AUTHORIZED ADMINISTRATOR) |
| Authorized Official Contact | 6174186940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Dental Health Pc 198 Tremont St Ste 436 Boston MA 02116-4705 Ph: () - | Beacon Dental Health Pc 21 Merchants Row Ste 2a Boston MA 02109-2040 Ph: (617) 418-6940 |
| NPI Number | 1407465743 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407465743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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