Organization
KRISTEN CHOE DORITY, DMD, PC
Active
Other names
Parkside Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DORITY (PRESIDENT)
(617) 426-5549
Entity
Organization
Contact information
Practice address
37 NEWBURY ST STE 3, BOSTON, MA 02116-3428
(617) 426-5549
Mailing address
37 NEWBURY ST STE 3, BOSTON, MA 02116-3428
(617) 416-4685
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN20595
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518039973
DENTAL
MA
Enumeration date
03/05/2018
Last updated
03/05/2018
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