| Park Prosthodontics, Pllc | |
|
800 Boylston St Fl 2 Boston MA 02199-8081 | |
| (617) 829-9744 | |
| Not Available |
| Full Name | Park Prosthodontics, Pllc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 800 Boylston St Fl 2, Boston, Massachusetts |
| Authorized Official Name and Position | Carly Park (OWNER) |
| Authorized Official Contact | 2039215437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Prosthodontics, Pllc 776 Main St Unit 540085 Waltham MA 02454-5405 Ph: (203) 921-5437 | Park Prosthodontics, Pllc 800 Boylston St Fl 2 Boston MA 02199-8081 Ph: (617) 829-9744 |
| NPI Number | 1164078655 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164078655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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