| Sobodental Pllc | |
|
590 E Broadway Ste 1 South Boston MA 02127-4479 | |
| (617) 268-1015 | |
| Not Available |
| Full Name | Sobodental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 590 E Broadway Ste 1, South Boston, Massachusetts |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sobodental Pllc 590 E Broadway Ste 1 South Boston MA 02127-4479 Ph: (617) 268-1015 | Sobodental Pllc 590 E Broadway Ste 1 South Boston MA 02127-4479 Ph: (617) 268-1015 |
| NPI Number | 1578389938 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578389938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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