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151 Merrimac St Boston MA 02114-4714 | |
| (617) 982-2233 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 151 Merrimac St, Boston, Massachusetts |
| Authorized Official Name and Position | Jessika Susan Jahnsen (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6179822233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
151 Merrimac St Boston MA 02114-4714 Ph: (617) 982-2233 | 151 Merrimac St Boston MA 02114-4714 Ph: (617) 982-2233 |
| NPI Number | 1851923221 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 09/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851923221 | NPI | - | NPPES |
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