| West Roxbury Modern Dentistry, Pc | |
|
75 Spring St Ste 100a West Roxbury MA 02132-4335 | |
| (857) 353-5103 | |
| (957) 264-2506 |
| Full Name | West Roxbury Modern Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 75 Spring St Ste 100a, West Roxbury, Massachusetts |
| Authorized Official Name and Position | Frederick Lee (OWNER) |
| Authorized Official Contact | 8573535103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Roxbury Modern Dentistry, Pc Po Box 920050 Dallas TX 75392-0050 Ph: () - | West Roxbury Modern Dentistry, Pc 75 Spring St Ste 100a West Roxbury MA 02132-4335 Ph: (857) 353-5103 |
| NPI Number | 1073299137 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073299137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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