Starlident P.c.

NPI #1982961272 in Newton, Massachusetts

Provider Information

NPI Number: 1982961272
Entity Type: Organization
Organization Name: Starlident P.c.
Primary Specialty: Dentist
Enumeration Date: Apr 12, 2012
Last Updated: Apr 12, 2012

Practice Location

Address: 517 WASHINGTON ST
City: Newton
State: Massachusetts
ZIP Code: 02458-1433
Phone: (617) 340-9178

Authorized Official

Name: DR. XING FAN
Title: DENTIST
Phone: (617) 340-9178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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