Organization
BOSTON DENTAL
Active
Other names
Fred G. Boustany D.M.D.,PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED G. BOUSTANY DMD (PRESIDENT)
(617) 338-5000
Entity
Organization
Contact information
Practice address
36 CHAUNCY ST, BOSTON, MA 02111-2209
(617) 338-5000
(617) 338-1039
Mailing address
36 CHAUNCY ST, BOSTON, MA 02111-2209
(617) 338-5000
(617) 338-1039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15733
MA
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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