Mattapan Square Family Dental PC

NPI #1295907467 in Mattapan, Massachusetts

Provider Information

NPI Number: 1295907467
Entity Type: Organization
Organization Name: Mattapan Square Family Dental PC
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2008
Last Updated: Mar 28, 2008

Practice Location

Address: 1634 BLUE HILL AVE
City: Mattapan
State: Massachusetts
ZIP Code: 02126-2121
Phone: (617) 298-2000

Authorized Official

Name: ALEX FAIGEL
Title: MANAGER
Phone: (617) 823-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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