Prudential Dental Associates Inc.

NPI #1972745891 in Boston, Massachusetts

Provider Information

NPI Number: 1972745891
Entity Type: Organization
Organization Name: Prudential Dental Associates Inc.
Primary Specialty: Dentist
Enumeration Date: Mar 25, 2009
Last Updated: Mar 25, 2009

Practice Location

Address: 575 BOYLSTON ST
Address 2: 7TH FLOOR
City: Boston
State: Massachusetts
ZIP Code: 02116-3607
Phone: (617) 267-3889

Authorized Official

Name: DR. ALEX ADELI, MDM
Title: PRESIDENT
Phone: (617) 267-3889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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