| Starlident P.c. | |
|
517 Washington St Newton MA 02458-1433 | |
| (617) 340-9178 | |
| Not Available |
| Full Name | Starlident P.c. |
|---|---|
| Speciality | Dentist |
| Location | 517 Washington St, Newton, Massachusetts |
| Authorized Official Name and Position | Xing Fan (DENTIST) |
| Authorized Official Contact | 6173409178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlident P.c. 524 Concord Ave Lexington MA 02421-8010 Ph: () - | Starlident P.c. 517 Washington St Newton MA 02458-1433 Ph: (617) 340-9178 |
| NPI Number | 1982961272 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982961272 | NPI | - | NPPES |
| 110091024A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1855843 (Massachusetts) | Primary |
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