Beacon Dental Group

NPI #1770756405 in Dorchester Center, Massachusetts

Provider Information

NPI Number: 1770756405
Entity Type: Organization
Organization Name: Beacon Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 2, 2008
Last Updated: Apr 2, 2008

Practice Location

Address: 1016 BLUE HILL AVE
City: Dorchester Center
State: Massachusetts
ZIP Code: 02124-2808
Phone: (617) 282-2146

Authorized Official

Name: CRESSIDA LADONNA JOSEPH, DMD
Title: OWNER
Phone: (617) 282-2146

Specialties & Taxonomy Codes

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

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