| Idg Boston High Street Dental Pc | |
|
10 High St Ste 333 Boston MA 02110-1672 | |
| (617) 482-2500 | |
| Not Available |
| Full Name | Idg Boston High Street Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 High St Ste 333, Boston, Massachusetts |
| Authorized Official Name and Position | Heejeong Son (OWNER DENTIST) |
| Authorized Official Contact | 6174854752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idg Boston High Street Dental Pc 10 High St Ste 333 Boston MA 02110-1672 Ph: (617) 482-2500 | Idg Boston High Street Dental Pc 10 High St Ste 333 Boston MA 02110-1672 Ph: (617) 482-2500 |
| NPI Number | 1902679061 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902679061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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