Organization
KASIA SZARY DDS, P.C. INS
Active
Other names
Park Street Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASIA SZARY DDS (OWNER)
(617) 426-8029
Entity
Organization
Contact information
Practice address
128A TREMONT ST, BOSTON, MA 02108-4716
(617) 426-8029
Mailing address
128A TREMONT ST, BOSTON, MA 02108-4716
(617) 426-8029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21422
MA
1223P0300X
Periodontics
21422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255409991
DENTIST
MA
Enumeration date
09/23/2008
Last updated
09/23/2008
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