Individual
BETTY BEN DOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(610) 680-5335
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN10000825
MA
122300000X
Dentist
Primary
DS045154
PA
Other
Enumeration date
04/09/2025
Last updated
06/09/2025
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