| Arch St Dental Corp | |
|
103 Arch St Boston MA 02110-1102 | |
| (617) 338-7778 | |
| (617) 338-7779 |
| Full Name | Arch St Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 Arch St, Boston, Massachusetts |
| Authorized Official Name and Position | Ekatrina Mamulashvili (OWNER) |
| Authorized Official Contact | 6173387778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arch St Dental Corp 103 Arch St Boston MA 02110-1102 Ph: (617) 338-7778 | Arch St Dental Corp 103 Arch St Boston MA 02110-1102 Ph: (617) 338-7778 |
| NPI Number | 1801208715 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801208715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21211 (Massachusetts) | Primary |
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