Organization
CITIDENTA TREMONT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA BADAWI (MANAGER)
(617) 817-3312
Entity
Organization
Contact information
Practice address
32 TREMONT ST, BOSTON, MA 02108-3201
(617) 982-7758
Mailing address
63 COURT ST, BOSTON, MA 02108-2109
(617) 723-6300
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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