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359 Boylston St Ste 6 Boston MA 02116-3378 | |
| (617) 262-1422 | |
| (617) 262-1424 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 359 Boylston St Ste 6, Boston, Massachusetts |
| Authorized Official Name and Position | Vasilios Mourmouits (DR.) |
| Authorized Official Contact | 6172621422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
359 Boylston St Ste 6 Boston MA 02116-3378 Ph: (617) 262-1422 | 359 Boylston St Ste 6 Boston MA 02116-3378 Ph: (617) 262-1422 |
| NPI Number | 1598193146 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 10/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598193146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18542 (Massachusetts) | Primary |
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