Organization
PERIODONTICS DENTAL IMPLANTS OF GREATER BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOFIA OSTRER-POTAPOV DDS (OWNER/DOCTOR)
(617) 776-7676
Entity
Organization
Contact information
Practice address
30 COLLEGE AVE, SUITE 201, SOMERVILLE, MA 02144-1914
(617) 776-7676
(617) 776-7677
Mailing address
30 COLLEGE AVE, SUITE 201, SOMERVILLE, MA 02144-1914
(617) 776-7676
(617) 776-7677
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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