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Organization

BOSTON DENTAL PARTNERS LLC

Active
Other names
Washington Park Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMAD KAMEL DMD (OWNER)
(508) 904-1530
Entity
Organization

Contact information

Practice address
330 MARTIN LUTHER KING BLVD, BOSTON, MA 02119-1868
(508) 904-1530
Mailing address
330 MARTIN LUTHER KING BLVD, BOSTON, MA 02119-1868
(508) 904-1530

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856303
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841632213
NPI
Enumeration date
11/15/2017
Last updated
11/15/2017
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