| Boston Dental Group | |
|
266 S Harvard Blvd #110 Los Angeles CA 90004-4372 | |
| (213) 380-2727 | |
| (213) 380-2822 |
| Full Name | Boston Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 266 S Harvard Blvd, Los Angeles, California |
| Authorized Official Name and Position | Bryan Chung (C.E.O) |
| Authorized Official Contact | 2133802727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Dental Group 266 S Harvard Blvd #110 Los Angeles CA 90004-4372 Ph: (213) 380-2727 | Boston Dental Group 266 S Harvard Blvd #110 Los Angeles CA 90004-4372 Ph: (213) 380-2727 |
| NPI Number | 1780891101 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780891101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43413 (California) | Primary |
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