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Organization
RILEY & HAN DENTAL ASSOCIATES, LLC
Active
Organization
RILEY & HAN DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A. KING-BURKE (OFFICE MANAGER)
(617) 723-4032
Entity
Organization
Contact information
Practice address
10 HAWTHORNE PL, SUITE 102, BOSTON, MA 02114-2336
(617) 723-4032
(617) 723-4059
Mailing address
10 HAWTHORNE PL, SUITE 102, BOSTON, MA 02114-2336
(617) 723-4032
(617) 723-4059
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
DN12185
MA
261QD0000X
Dental Clinic/Center
Primary
DN19965
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043475056
DENTIST PRACTIONER NPI TYPE 1
MA
01
—
1235213752
DENTIST PRACTIONER NPI TYPE 1
MA
01
—
1730101767
DENTIST TRACTIONER NPI TYPE 1
MA
Enumeration date
05/04/2012
Last updated
06/01/2022
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