| Suffolk Dental Group | |
|
128a Tremont St Fl 2 Boston MA 02108-4716 | |
| (617) 423-0505 | |
| (617) 423-4259 |
| Full Name | Suffolk Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 128a Tremont St Fl 2, Boston, Massachusetts |
| Authorized Official Name and Position | Yin Hsu (OWNER) |
| Authorized Official Contact | 6174230505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Dental Group 128a Tremont St Fl 2 Boston MA 02108-4716 Ph: (617) 423-0505 | Suffolk Dental Group 128a Tremont St Fl 2 Boston MA 02108-4716 Ph: (617) 423-0505 |
| NPI Number | 1154485787 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154485787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18215 (Massachusetts) | Primary |
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