Organization
CHARLES RIVER DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESE R. PETERS B.S. (PRACTICE MANAGER)
(617) 523-4555
Entity
Organization
Contact information
Practice address
50 STANIFORD ST, SUITE 303, BOSTON, MA 02114-2517
(617) 523-4555
(617) 227-2767
Mailing address
50 STANIFORD ST, SUITE 303, BOSTON, MA 02114-2517
(617) 523-4555
(617) 227-2767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19464
MA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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