| Millenium Dental, LLC | |
|
177 Tremont St Fl 6 Boston MA 02111-1020 | |
| (617) 462-5662 | |
| (617) 532-0022 |
| Full Name | Millenium Dental, LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 177 Tremont St Fl 6, Boston, Massachusetts |
| Authorized Official Name and Position | Ernest M. Yazigi (OWNER) |
| Authorized Official Contact | 6174265662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millenium Dental, LLC 177 Tremont St Fl 6 Boston MA 02111-1020 Ph: (617) 462-5662 | Millenium Dental, LLC 177 Tremont St Fl 6 Boston MA 02111-1020 Ph: (617) 462-5662 |
| NPI Number | 1164757175 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164757175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19887 (Massachusetts) | Primary |
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