Organization
DENTAL SPECIALISTS OF BOSTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRAYS SANTA MARIA DMD (PRESIDENT)
(617) 207-0000
Entity
Organization
Contact information
Practice address
396 COMMONWEALTH AVENUE, STE 2, BOSTON, MA 02215
(617) 207-0000
Mailing address
396 COMMONWEALTH AVENUE, STE 2, BOSTON, MA 02215
(617) 207-0000
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D21076
MA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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