First Impression Dental, Pllc | |
1751 Massachusetts Ave Fl 1 Cambridge MA 02140-2218 | |
(617) 207-8667 | |
Not Available |
Full Name | First Impression Dental, Pllc |
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Speciality | Clinic/center - Dental |
Location | 1751 Massachusetts Ave Fl 1, Cambridge, Massachusetts |
Authorized Official Name and Position | Dmitry Grigory Merzon (OWNER) |
Authorized Official Contact | 6172078667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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First Impression Dental, Pllc 1751 Massachusetts Ave Fl 1 Cambridge MA 02140-2218 Ph: (617) 207-8667 | First Impression Dental, Pllc 1751 Massachusetts Ave Fl 1 Cambridge MA 02140-2218 Ph: (617) 207-8667 |
NPI Number | 1124484001 |
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Provider Enumeration Date | 01/08/2016 |
Last Update Date | 01/26/2016 |
Identifier | Type | State | Issuer |
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1124484001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1258907 (Massachusetts) | Primary |
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