Lewis Wharf Dental Associates | |
28 Atlantic Ave. Ste. 237 Boston MA 02110 | |
(617) 227-4831 | |
(617) 227-3174 |
Full Name | Lewis Wharf Dental Associates |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 28 Atlantic Ave., Boston, Massachusetts |
Authorized Official Name and Position | William L. Maness (OWNER) |
Authorized Official Contact | 6172274831 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lewis Wharf Dental Associates 28 Atlantic Ave. Office 237 Boston MA 02110 Ph: (617) 227-4831 | Lewis Wharf Dental Associates 28 Atlantic Ave. Ste. 237 Boston MA 02110 Ph: (617) 227-4831 |
NPI Number | 1609989235 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 07/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609989235 | NPI | - | NPPES |
X07015 | Other | MA | BC/BS |
185821 | Other | MA | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 11614 (Massachusetts) | Primary |
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