| Professional Dental Allaince Of Massachusetts Pllc | |
|
17 Main St Boylston MA 01505-1948 | |
| (508) 869-6388 | |
| Not Available |
| Full Name | Professional Dental Allaince Of Massachusetts Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17 Main St, Boylston, Massachusetts |
| Authorized Official Name and Position | Andrew Matta (OWNER) |
| Authorized Official Contact | 7246982500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Allaince Of Massachusetts Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: () - | Professional Dental Allaince Of Massachusetts Pllc 17 Main St Boylston MA 01505-1948 Ph: (508) 869-6388 |
| NPI Number | 1245878305 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245878305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Boylston Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Main St, Boylston, MA 01505 Phone: 508-869-6388 Fax: 508-869-2910 |