Apollo Dental Ass.

NPI #1700148301 in Dorchester, Massachusetts

Provider Information

NPI Number: 1700148301
Entity Type: Organization
Organization Name: Apollo Dental Ass.
Subpart: Yes (part of a larger organization)
Parent Organization: APOLLO DENTAL ASS
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 940 DORCHESTER AVE
City: Dorchester
State: Massachusetts
ZIP Code: 02125-1218
Phone: (617) 354-1678

Authorized Official

Name: DR. DIEUTRANG BUI, DMD
Title: OWNER
Phone: (617) 354-1678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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