| Idg Boston Po Square Dental Pc | |
|
10 Post Office Sq Ste 655 Boston MA 02109-4603 | |
| (617) 423-6777 | |
| (617) 622-1548 |
| Full Name | Idg Boston Po Square Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 Post Office Sq Ste 655, Boston, Massachusetts |
| Authorized Official Name and Position | Heejeong Son (PRESIDENT) |
| Authorized Official Contact | 6174854752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idg Boston Po Square Dental Pc 1996 Centre St Ste 201 West Roxbury MA 02132-3330 Ph: (617) 221-8000 | Idg Boston Po Square Dental Pc 10 Post Office Sq Ste 655 Boston MA 02109-4603 Ph: (617) 423-6777 |
| NPI Number | 1346013414 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346013414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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