| Citidental PC | |
|
63 Court St Boston MA 02108-2109 | |
| (617) 723-6300 | |
| (617) 723-1717 |
| Full Name | Citidental PC |
|---|---|
| Speciality | Dentist |
| Location | 63 Court St, Boston, Massachusetts |
| Authorized Official Name and Position | Basel Badawi (PRESIDENT) |
| Authorized Official Contact | 6177236300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citidental PC 63 Court St Boston MA 02108-2109 Ph: (617) 723-6300 | Citidental PC 63 Court St Boston MA 02108-2109 Ph: (617) 723-6300 |
| NPI Number | 1457667834 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457667834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18691 (Massachusetts) | Primary |
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