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Organization

WEST ROXBURY MODERN DENTISTRY, PC

Active
Other names
West Roxbury Modern Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK LEE DMD (OWNER)
(857) 353-5103
Entity
Organization

Contact information

Practice address
75 SPRING ST STE 100A, WEST ROXBURY, MA 02132-4335
(857) 353-5103
(957) 264-2506
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/23/2023
Last updated
06/23/2023
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