Organization
BOUTSELIS FAMILY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ALEXANDER BOUTSELIS DMD (OWNER PRESIDENT)
(978) 640-1114
Entity
Organization
Contact information
Practice address
381R MAIN STREET, TEWKSBURY, MA 01876
(978) 640-1114
(978) 640-1117
Mailing address
381R MAIN STREET, TEWKSBURY, MA 01876
(978) 640-1114
(978) 640-1117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11196
MA
1223G0001X
General Practice Dentistry
18573
MA
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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