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Organization
WEST ROXBURY MODERN DENTISTRY, PC
Active
Organization
WEST ROXBURY MODERN DENTISTRY, PC
Active
Other names
West Roxbury Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK LEE DMD (OWNER)
(857) 353-5103
Entity
Organization
Contact information
Practice address
75 SPRING ST STE 100A, WEST ROXBURY, MA 02132-4335
(857) 353-5103
(957) 264-2506
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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