| Riley & Han Dental Associates, Llc | |
|
10 Hawthorne Pl Suite 102 Boston MA 02114-2336 | |
| (617) 723-4032 | |
| (617) 723-4059 |
| Full Name | Riley & Han Dental Associates, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10 Hawthorne Pl, Boston, Massachusetts |
| Authorized Official Name and Position | Nancy A. King-burke (OFFICE MANAGER) |
| Authorized Official Contact | 6177234032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riley & Han Dental Associates, Llc 10 Hawthorne Pl Suite 102 Boston MA 02114-2336 Ph: (617) 723-4032 | Riley & Han Dental Associates, Llc 10 Hawthorne Pl Suite 102 Boston MA 02114-2336 Ph: (617) 723-4032 |
| NPI Number | 1558620997 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558620997 | NPI | - | NPPES |
| 1043475056 | Other | MA | DENTIST PRACTIONER NPI TYPE 1 |
| 1730101767 | Other | MA | DENTIST TRACTIONER NPI TYPE 1 |
| 1235213752 | Other | MA | DENTIST PRACTIONER NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN12185 (Massachusetts) | Secondary |
| 261QD0000X | Clinic/center - Dental | DN19965 (Massachusetts) | Primary |
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