Organization
MILLENIUM DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST M. YAZIGI D.M.D. (OWNER)
(617) 426-5662
Entity
Organization
Contact information
Practice address
177 TREMONT ST FL 6, BOSTON, MA 02111-1020
(617) 462-5662
(617) 532-0022
Mailing address
177 TREMONT ST FL 6, BOSTON, MA 02111-1020
(617) 462-5662
(617) 532-0022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19887
MA
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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