Organization
INTERNATIONAL PLACE DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA ELLIS (PRACTICE MANAGER)
(617) 330-8887
Entity
Organization
Contact information
Practice address
1 INTERNATIONAL PL, FLOOR 7, BOSTON, MA 02110-2602
(617) 330-8887
(617) 330-8730
Mailing address
ONE INTERNATIONAL PLACE, FLOOR 7, BOSTON, MA 02110
(617) 330-8887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11855
MA
1223G0001X
General Practice Dentistry
12879
MA
1223G0001X
General Practice Dentistry
18636
MA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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