Organization
EAST BOSTON DENTAL AND ORTHODONTICS PC
Active
Other names
EAST BOSTON DENTAL AND ORTHODONTICS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEETU BANSAL DMD (OWNER)
(617) 275-6306
Entity
Organization
Contact information
Practice address
999 SARATOGA ST, EAST BOSTON, MA 02128-1238
(617) 569-2761
(617) 997-0030
Mailing address
8 BRIGHTON ST APT 3, CHARLESTOWN, MA 02129-1260
(617) 275-6306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
10/06/2019
Last updated
08/10/2023
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