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1 International Pl Fl 7 Boston MA 02110-2602 | |
| (617) 330-8887 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 International Pl Fl 7, Boston, Massachusetts |
| Authorized Official Name and Position | Nicholas Theodore Papapetros (PRESIDENT) |
| Authorized Official Contact | 9788862678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 International Pl Fl 7 Boston MA 02110-2602 Ph: (617) 330-8887 | 1 International Pl Fl 7 Boston MA 02110-2602 Ph: (617) 330-8887 |
| NPI Number | 1851015564 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851015564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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