| Periodontics Dental Implants Of Greater Boston | |
|
30 College Ave Suite 201 Somerville MA 02144-1914 | |
| (617) 776-7676 | |
| (617) 776-7677 |
| Full Name | Periodontics Dental Implants Of Greater Boston |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 30 College Ave, Somerville, Massachusetts |
| Authorized Official Name and Position | Sofia Ostrer-potapov (OWNER/DOCTOR) |
| Authorized Official Contact | 6177767676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics Dental Implants Of Greater Boston 30 College Ave Suite 201 Somerville MA 02144-1914 Ph: (617) 776-7676 | Periodontics Dental Implants Of Greater Boston 30 College Ave Suite 201 Somerville MA 02144-1914 Ph: (617) 776-7676 |
| NPI Number | 1437316825 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437316825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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