Organization
BESPOKE DENTAL BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BALABAN D.M.D. (DENTAL DIRECTOR)
(617) 466-6688
Entity
Organization
Contact information
Practice address
11 NEWBURY ST FL 4, BOSTON, MA 02116-3138
(617) 466-6688
Mailing address
48 SAINT GERMAIN ST APT 4, BOSTON, MA 02115-3241
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2018
Last updated
10/28/2018
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