| Specialized Group Practice Pllc | |
|
800 Boylston St Fl 2 Boston MA 02199-8081 | |
| (617) 206-1712 | |
| Not Available |
| Full Name | Specialized Group Practice Pllc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 800 Boylston St Fl 2, Boston, Massachusetts |
| Authorized Official Name and Position | Albert Zebouni (SOLE MEMBER) |
| Authorized Official Contact | 6175953600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Group Practice Pllc 460 Harrison Ave Unit 227c Boston MA 02118-2874 Ph: (617) 595-3600 | Specialized Group Practice Pllc 800 Boylston St Fl 2 Boston MA 02199-8081 Ph: (617) 206-1712 |
| NPI Number | 1578436093 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 10/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578436093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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