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575 Boylston St Boston MA 02116-3607 | |
| (617) 536-6669 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 575 Boylston St, Boston, Massachusetts |
| Authorized Official Name and Position | Paul J Scull (DENTIST/PRESIDENT) |
| Authorized Official Contact | 6175366668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
575 Boylston St Boston MA 02116-3607 Ph: (617) 536-6669 | 575 Boylston St Boston MA 02116-3607 Ph: (617) 536-6669 |
| NPI Number | 1699933986 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699933986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20853 (Massachusetts) | Primary |
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