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Organization
BOSTON DENTAL PARTNERS LLC
Active
Organization
BOSTON DENTAL PARTNERS LLC
Active
Other names
Washington Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD KAMEL DMD (OWNER)
(508) 904-1530
Entity
Organization
Contact information
Practice address
330 MARTIN LUTHER KING BLVD, BOSTON, MA 02119-1868
(508) 904-1530
Mailing address
330 MARTIN LUTHER KING BLVD, BOSTON, MA 02119-1868
(508) 904-1530
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856303
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841632213
NPI
—
Enumeration date
11/15/2017
Last updated
11/15/2017
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