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Organization
BOSTON PREMIER DENTISTRY, PC
Active
Organization
BOSTON PREMIER DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH ASHA DMD (DENTIST)
(781) 346-4298
Entity
Organization
Contact information
Practice address
10 TREMONT ST STE 402, BOSTON, MA 02108-2062
(781) 346-4298
Mailing address
73 LITCHFIELD ST, BRIGHTON, MA 02135-1215
(781) 346-4298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1857266
MA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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