Organization
COGLIANO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ROBERT COGLIANO DMD (DENTIST)
(617) 742-5560
Entity
Organization
Contact information
Practice address
105 ATLANTIC AVE, BOSTON, MA 02110-3702
(617) 742-5560
Mailing address
105 ATLANTIC AVE, BOSTON, MA 02110-3702
(617) 742-5560
(617) 742-5562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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