Citidental PC

NPI #1457667834 in Boston, Massachusetts

Provider Information

NPI Number: 1457667834
Entity Type: Organization
Organization Name: Citidental PC
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2010
Last Updated: Aug 24, 2010

Practice Location

Address: 63 COURT ST
City: Boston
State: Massachusetts
ZIP Code: 02108-2109
Phone: (617) 723-6300

Authorized Official

Name: BASEL BADAWI, DMD
Title: PRESIDENT
Phone: (617) 723-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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