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Organization
BOSTON CENTER FOR ORAL HEALTH LLC
Active
Organization
BOSTON CENTER FOR ORAL HEALTH LLC
Active
Other names
Carmine Morreale
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE AMNOTT (OFFICE MANAGER)
(617) 536-4620
Entity
Organization
Contact information
Practice address
400 COMMONWEALTH AVE STE 104B, BOSTON, MA 02215-2813
(617) 536-4620
(617) 536-3872
Mailing address
400 COMMONWEALTH AVE STE 104B, BOSTON, MA 02215-2813
(617) 536-4620
(617) 536-3872
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16477
DENTAL LICENSE NUMBER
MA
Enumeration date
03/23/2021
Last updated
03/24/2021
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