Boston Dental LLC

NPI #1265737571 in Boston, New York

Provider Information

NPI Number: 1265737571
Entity Type: Organization
Organization Name: Boston Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jan 18, 2011
Last Updated: Jan 18, 2011

Practice Location

Address: 8397 BOSTON STATE RD
City: Boston
State: New York
ZIP Code: 14025-9651
Phone: (716) 941-5433

Authorized Official

Name: DR. CHARLES ALAN MATLACH, D.D.S.
Title: OWNER
Phone: (716) 941-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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