| High Street Dental Group | |
|
10 High St Suite 333 Boston MA 02110-1605 | |
| (617) 482-2500 | |
| (617) 482-2522 |
| Full Name | High Street Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 10 High St, Boston, Massachusetts |
| Authorized Official Name and Position | Basel Badawi (PRESIDENT) |
| Authorized Official Contact | 6174822500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Street Dental Group 10 High St Suite 333 Boston MA 02110-1605 Ph: (617) 482-2500 | High Street Dental Group 10 High St Suite 333 Boston MA 02110-1605 Ph: (617) 482-2500 |
| NPI Number | 1154722494 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 09/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154722494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18691 (Massachusetts) | Primary |
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