Mission Hill Dental Services | |
780 Boylston St Apt 3c Boston MA 02199-7802 | |
(617) 858-5019 | |
Not Available |
Full Name | Mission Hill Dental Services |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 780 Boylston St Apt 3c, Boston, Massachusetts |
Authorized Official Name and Position | Seullki Kim (PRESIDENT) |
Authorized Official Contact | 6463423951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mission Hill Dental Services 780 Boylston St Apt 3c Boston MA 02199-7802 Ph: (617) 858-5019 | Mission Hill Dental Services 780 Boylston St Apt 3c Boston MA 02199-7802 Ph: (617) 858-5019 |
NPI Number | 1295113355 |
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Provider Enumeration Date | 05/09/2015 |
Last Update Date | 07/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295113355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | DN1855408 (Massachusetts) | Primary |
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