Organization
BACK BAY BOSTON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANAGIOTIS PAPASPYRIDAKOS DDS (OWNER)
(646) 644-7394
Entity
Organization
Contact information
Practice address
745 BOYLSTON ST, BOSTON, MA 02116-2636
(646) 644-7394
Mailing address
19 SAINT GERMAIN ST APT 9, BOSTON, MA 02115-3248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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