Organization
JACK J. KLAUSNER DDS, PC
Active
Other names
Back Bay Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK J KLAUSNER DDS (OWNER)
(617) 247-9966
Entity
Organization
Contact information
Practice address
21 BAY STATE RROAD, BOSTON, MA 02215
(617) 247-9966
(617) 266-0679
Mailing address
21 BAY STATE RD, BOSTON, MA 02215-2101
(617) 247-9096
(617) 266-0679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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