Organization
GERALD G. UDLER, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD G UDLER D.M.D. (PRESIDENT)
(617) 735-0800
Entity
Organization
Contact information
Practice address
1244 BOYLSTON ST, SUITE 205, CHESTNUT HILL, MA 02467-2116
(617) 735-0800
(617) 735-0801
Mailing address
1244 BOYLSTON ST, SUITE 205, CHESTNUT HILL, MA 02467-2116
(617) 735-0800
(617) 735-0801
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11348
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256951
—
MA
01
—
X10928
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
10/05/2006
Last updated
08/22/2020
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