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128a Tremont St Boston MA 02108-4716 | |
| (617) 426-8029 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 128a Tremont St, Boston, Massachusetts |
| Authorized Official Name and Position | Kasia Szary (OWNER) |
| Authorized Official Contact | 6174268029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
128a Tremont St Boston MA 02108-4716 Ph: (617) 426-8029 | 128a Tremont St Boston MA 02108-4716 Ph: (617) 426-8029 |
| NPI Number | 1518117837 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518117837 | NPI | - | NPPES |
| 1255409991 | Other | MA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21422 (Massachusetts) | Primary |
| 1223P0300X | Dentist - Periodontics | 21422 (Massachusetts) | Secondary |
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