| Boston Dental Llc | |
|
8397 Boston State Rd Boston NY 14025-9651 | |
| (716) 941-5433 | |
| Not Available |
| Full Name | Boston Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 8397 Boston State Rd, Boston, New York |
| Authorized Official Name and Position | Charles Alan Matlach (OWNER) |
| Authorized Official Contact | 7169415433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Dental Llc 8397 Boston State Rd Boston NY 14025-9651 Ph: (716) 941-5433 | Boston Dental Llc 8397 Boston State Rd Boston NY 14025-9651 Ph: (716) 941-5433 |
| NPI Number | 1265737571 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265737571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 32221 (New York) | Primary |
Western New York Dental Group,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9290 Boston State Rd, Boston, NY 14025 Phone: 716-941-5352 Fax: 716-941-5566 |