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100 E Newton St Rm G317 Boston MA 02118-2308 | |
| (617) 638-5932 | |
| (617) 638-4490 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 E Newton St, Boston, Massachusetts |
| Authorized Official Name and Position | Martin Howard (SENIOR VP, CFO & TREASURER) |
| Authorized Official Contact | 6173532290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 E Newton St Rm G317 Boston MA 02118-2308 Ph: (617) 638-5932 | 100 E Newton St Rm G317 Boston MA 02118-2308 Ph: (617) 638-5932 |
| NPI Number | 1982757506 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 12/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982757506 | NPI | - | NPPES |
| 0242799 | Medicaid | MA |
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