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121 Charles St S Boston MA 02116-5432 | |
| (201) 230-3756 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 Charles St S, Boston, Massachusetts |
| Authorized Official Name and Position | Sarah Lee (DENTIST) |
| Authorized Official Contact | 6175798800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
121 Charles St S Boston MA 02116-5432 Ph: (617) 579-8800 | 121 Charles St S Boston MA 02116-5432 Ph: (201) 230-3756 |
| NPI Number | 1881340982 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 10/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881340982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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