| Boston Park Dental Group | |
|
128a Tremont St Fl 3 Boston MA 02108-4716 | |
| (617) 482-1117 | |
| Not Available |
| Full Name | Boston Park Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 128a Tremont St Fl 3, Boston, Massachusetts |
| Authorized Official Name and Position | Yongjeong Kim (SECRETARY) |
| Authorized Official Contact | 6174821117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Park Dental Group 128a Tremont St Fl 3 Boston MA 02108-4716 Ph: (617) 482-1117 | Boston Park Dental Group 128a Tremont St Fl 3 Boston MA 02108-4716 Ph: (617) 482-1117 |
| NPI Number | 1376032292 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376032292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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