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Organization

COMMONWEALTH DENTAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHIRLEY AUSTIN DMD (DENTIST)
(718) 344-3648
Entity
Organization

Contact information

Practice address
400 COMMONWEALTH AVE STE 3, BOSTON, MA 02215-2813
(718) 344-3648
Mailing address
22 OLD STOW RD, CONCORD, MA 01742-2827
(718) 344-3648

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223P0300X
Periodontics

Other

Enumeration date
07/01/2026
Last updated
07/01/2026
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