Woburn Street Dental, PC

NPI #1740629724 in Medford, Massachusetts

Provider Information

NPI Number: 1740629724
Entity Type: Organization
Organization Name: Woburn Street Dental, PC
Primary Specialty: Dentist
Enumeration Date: Jun 23, 2013
Last Updated: Jun 23, 2013

Practice Location

Address: 18 WOBURN ST
City: Medford
State: Massachusetts
ZIP Code: 02155-3428
Phone: (781) 396-1414

Authorized Official

Name: BORIS BACANURSCHI, DMD
Title: OWNER
Phone: (781) 396-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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