| Kendall Square Dental Associates | |
|
1 Kendall Sq Building 300, Suite 312 Cambridge MA 02139-1562 | |
| (617) 577-8700 | |
| (617) 577-0282 |
| Full Name | Kendall Square Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Kendall Sq, Cambridge, Massachusetts |
| Authorized Official Name and Position | Kyuho Lim (PRESIDENT) |
| Authorized Official Contact | 6175778700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Square Dental Associates 1 Briarwood Ln Winchester MA 01890-3869 Ph: (781) 729-1224 | Kendall Square Dental Associates 1 Kendall Sq Building 300, Suite 312 Cambridge MA 02139-1562 Ph: (617) 577-8700 |
| NPI Number | 1821152422 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821152422 | NPI | - | NPPES |
| X10929KE | Other | MA | BCBS OF MASS |
| 04614 | Other | MA | DELTA DENTAL OF MASS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14326 (Massachusetts) | Primary |
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