| Osorio South Boston Dental Group Dmd Pc | |
|
9 Channel Ctr St Ste 100 Boston MA 02210-3436 | |
| (617) 268-1030 | |
| (617) 268-2924 |
| Full Name | Osorio South Boston Dental Group Dmd Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 9 Channel Ctr St Ste 100, Boston, Massachusetts |
| Authorized Official Name and Position | Julian Osorio (OWNER/PRESIDENT) |
| Authorized Official Contact | 6172681030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osorio South Boston Dental Group Dmd Pc 9 Channel Ctr St Ste 100 Boston MA 02210-3436 Ph: (617) 268-1030 | Osorio South Boston Dental Group Dmd Pc 9 Channel Ctr St Ste 100 Boston MA 02210-3436 Ph: (617) 268-1030 |
| NPI Number | 1568939163 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568939163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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