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Organization
NY DENTAL PC
Active
Organization
NY DENTAL PC
Active
Other names
Bliss Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA S YEGOROV DMD (PRESIDENT)
(917) 753-8444
Entity
Organization
Contact information
Practice address
83 CAMBRIDGE ST STE 3A, BURLINGTON, MA 01803-4181
(781) 265-4500
(781) 265-4246
Mailing address
83 CAMBRIDGE ST STE 3A, BURLINGTON, MA 01803-4181
(781) 265-4500
(781) 265-4246
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855745
MA
Other
Enumeration date
03/30/2016
Last updated
04/01/2016
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