West Roxbury Modern Dentistry, PC
NPI #1073299137 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1073299137
- Entity Type
- Organization
- Organization Name
- West Roxbury Modern Dentistry, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 23, 2023
- Last Updated
- Jun 23, 2023
Practice Location
- Address
- 75 SPRING ST STE 100A
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-4335
- Phone
- (857) 353-5103
Authorized Official
- Name
- FREDERICK LEE, DMD
- Title
- OWNER
- Phone
- (857) 353-5103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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