Boylston Dental Associates
Dentist, General Practice in Boylston, MA. Organization (NPI-2).
NPI number1235306002
StatusActive
Last updated in NPPESMay 12, 2008
Details
- NPI
- 1235306002
- Entity type
- Organization (NPI-2)
- Legal business name
- Boylston Dental Associates
- Organization subpart
- No
- Enumeration date
- May 12, 2008
- Last updated
- May 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14415 | MA | Yes |
Practice location
17 Main StBoylston, MA 01505-1948
Phone 508-869-6388 · Fax 508-869-2910
Mailing address
17 Main StBoylston, MA 01505-1948
Phone 508-869-6388 · Fax 508-869-2910
Authorized official
John F Scanlon
Owner/President
5088696388
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