| Dentistar Pc | |
|
205 Harvard Ave Allston MA 02134-4617 | |
| (617) 396-8966 | |
| Not Available |
| Full Name | Dentistar Pc |
|---|---|
| Speciality | Dentist |
| Location | 205 Harvard Ave, Allston, Massachusetts |
| Authorized Official Name and Position | Hyung Chan Cho (PRESIDENT) |
| Authorized Official Contact | 8577536915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistar Pc 205 Harvard Ave Allston MA 02134-4617 Ph: (617) 396-8966 | Dentistar Pc 205 Harvard Ave Allston MA 02134-4617 Ph: (617) 396-8966 |
| NPI Number | 1457894321 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457894321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21696 (Massachusetts) | Primary |
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