| Boston Street Dentistry | |
|
1501 S Clinton St Ste 335 Baltimore MD 21224-5753 | |
| (410) 276-4455 | |
| Not Available |
| Full Name | Boston Street Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1501 S Clinton St Ste 335, Baltimore, Maryland |
| Authorized Official Name and Position | Amanda Lynn Hurley (OWNER) |
| Authorized Official Contact | 9204212654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Street Dentistry 246 S Chester St Baltimore MD 21231-2625 Ph: (920) 421-2654 | Boston Street Dentistry 1501 S Clinton St Ste 335 Baltimore MD 21224-5753 Ph: (410) 276-4455 |
| NPI Number | 1700461548 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700461548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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