| South Boston Family Dental Llc | |
|
591 E Broadway South Boston MA 02127-4404 | |
| (617) 268-5638 | |
| Not Available |
| Full Name | South Boston Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 591 E Broadway, South Boston, Massachusetts |
| Authorized Official Name and Position | Connie Liu (OFFICE MANAGER) |
| Authorized Official Contact | 6175840141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Boston Family Dental Llc 591 E Broadway South Boston MA 02127-4404 Ph: () - | South Boston Family Dental Llc 591 E Broadway South Boston MA 02127-4404 Ph: (617) 268-5638 |
| NPI Number | 1730598871 |
|---|---|
| Provider Enumeration Date | 08/02/2014 |
| Last Update Date | 08/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730598871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18625 (Massachusetts) | Primary |
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