Organization
DENTISTAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYUNG CHAN CHO (PRESIDENT)
(857) 753-6915
Entity
Organization
Contact information
Practice address
205 HARVARD AVE, ALLSTON, MA 02134-4617
(617) 396-8966
Mailing address
205 HARVARD AVE, ALLSTON, MA 02134-4617
(617) 396-8966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21696
MA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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