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Organization

BEACON DENTAL HEALTH PC

Active
Parent organization
BEACON DENTAL HEALTH PC
Other names
Post Office Square Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
BEACON DENTAL HEALTH PC
Authorized official
RISHI SHUKLA (AUTHORIZED ADMINISTRATOR)
(617) 418-6940
Entity
Organization

Contact information

Practice address
3 POST OFFICE SQ FL 9, BOSTON, MA 02109-3839
(617) 418-6940
Mailing address
198 TREMONT ST STE 436, BOSTON, MA 02116-4705

Taxonomy

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

Other

Enumeration date
09/04/2020
Last updated
12/09/2021
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