| Jack B Share Dds | |
|
31 State St Boston MA 02109-2705 | |
| (617) 742-1350 | |
| Not Available |
| Full Name | Jack B Share Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31 State St, Boston, Massachusetts |
| Authorized Official Name and Position | Jack Bennet Share (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6177421350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack B Share Dds 31 State St Boston MA 02109-2705 Ph: () - | Jack B Share Dds 31 State St Boston MA 02109-2705 Ph: (617) 742-1350 |
| NPI Number | 1295050094 |
|---|---|
| Provider Enumeration Date | 04/05/2010 |
| Last Update Date | 04/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295050094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15456 (Massachusetts) | Primary |
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