Organization
WOBURN STREET DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BACANURSCHI DMD (OWNER)
(781) 396-1414
Entity
Organization
Contact information
Practice address
18 WOBURN ST, MEDFORD, MA 02155-3428
(781) 396-1414
(781) 396-9238
Mailing address
18 WOBURN ST, MEDFORD, MA 02155-3428
(781) 396-1414
(781) 396-9238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21583
MA
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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