Organization
THE DENTAL COLLABORATIVE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH YAT SING NG D.M.D. (PRESIDENT)
(617) 338-0833
Entity
Organization
Contact information
Practice address
180 LINCOLN ST, SUITE 2A, BOSTON, MA 02111-2400
(617) 338-0833
Mailing address
PO BOX 120136, BOSTON, MA 02112-0136
(617) 338-0833
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17958
MA
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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