| Jack J. Klausner Dds, Pc | |
| 
					21 Bay State Rroad Boston MA 02215  | |
| (617) 247-9966 | |
| (617) 266-0679 | 
| Full Name | Jack J. Klausner Dds, Pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 21 Bay State Rroad, Boston, Massachusetts | 
| Authorized Official Name and Position | Jack J Klausner (OWNER) | 
| Authorized Official Contact | 6172479966 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jack J. Klausner Dds, Pc 21 Bay State Rd Boston MA 02215-2101 Ph: (617) 247-9096  | Jack J. Klausner Dds, Pc 21 Bay State Rroad Boston MA 02215 Ph: (617) 247-9966  | 
| NPI Number | 1326121138 | 
|---|---|
| Provider Enumeration Date | 10/23/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326121138 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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