Hammond Pond Dental Associates
Dentist, General Practice in Chestnut Hill, MA. Organization (NPI-2).
NPI number1699787663
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1699787663
- Entity type
- Organization (NPI-2)
- Legal business name
- Hammond Pond Dental Associates
- Organization subpart
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 17734 | MA | Yes |
Practice location
850 Boylston StSuite 317
Chestnut Hill, MA 02467-2477
Phone 617-739-8200
Mailing address
850 Boylston StSuite 317
Chestnut Hill, MA 02467-2477
Phone 617-739-8200
Authorized official
Joseph W Costa
Treasurer
6177398200
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