| |
65 Harrison Ave Suite 306 Boston MA 02111-1924 | |
(617) 451-3839 | |
(617) 451-2722 |
Full Name | |
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Speciality | Dentist - Periodontics |
Location | 65 Harrison Ave, Boston, Massachusetts |
Authorized Official Name and Position | Kay Hoasjoe (OWNER DENTIST) |
Authorized Official Contact | 6174513839 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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65 Harrison Ave Suite 306 Boston MA 02111-1924 Ph: (617) 451-3839 | 65 Harrison Ave Suite 306 Boston MA 02111-1924 Ph: (617) 451-3839 |
NPI Number | 1770635369 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1770635369 | NPI | - | NPPES |
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