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Organization

SOUTH BOSTON DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP BARBER M.D. (PARTNER)
(617) 268-1030
Entity
Organization

Contact information

Practice address
29 FARRAGUT RD, SOUTH BOSTON, MA 02127-1714
(617) 268-1030
Mailing address
29 FARRAGUT RD, SOUTH BOSTON, MA 02127-1714
(617) 268-1030

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X10143
BLUE CROSS BLUE SHIELD
Enumeration date
05/02/2007
Last updated
08/22/2020
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