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1 Kneeland St Fl 6 Boston MA 02111-1527 | |
| (617) 636-3932 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Kneeland St Fl 6, Boston, Massachusetts |
| Authorized Official Name and Position | Athena S Papas (DIRECTOR) |
| Authorized Official Contact | 6176363932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 Kneeland St Fl 6 Boston MA 02111-1527 Ph: (617) 636-3932 | 1 Kneeland St Fl 6 Boston MA 02111-1527 Ph: (617) 636-3932 |
| NPI Number | 1457636029 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457636029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12641 (Massachusetts) | Primary |
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