| Back Bay Boston Dental Llc | |
|
745 Boylston St Boston MA 02116-2636 | |
| (646) 644-7394 | |
| Not Available |
| Full Name | Back Bay Boston Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 745 Boylston St, Boston, Massachusetts |
| Authorized Official Name and Position | Panagiotis Papaspyridakos (OWNER) |
| Authorized Official Contact | 6466447394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back Bay Boston Dental Llc 19 Saint Germain St Apt 9 Boston MA 02115-3248 Ph: () - | Back Bay Boston Dental Llc 745 Boylston St Boston MA 02116-2636 Ph: (646) 644-7394 |
| NPI Number | 1356065684 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356065684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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