Dentaquest of Illinois, LLC
NPI #1396344032 in Boston, Massachusetts
Provider Information
- NPI Number
- 1396344032
- Entity Type
- Organization
- Organization Name
- Dentaquest of Illinois, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 23, 2020
- Last Updated
- Nov 17, 2021
Practice Location
- Address
- 465 MEDFORD ST
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02129-1426
- Phone
- (617) 886-1000
Authorized Official
- Name
- DAVID ABELMAN
- Title
- SECRETARY
- Phone
- (617) 886-1672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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