Organization
DOCTORS OF WEST ROXBURY LLC
Active
Other names
Citidental West Roxbury
Organization subpart
No
Provider details
NPI number
Authorized official
LINA BADAWI (MANAGER)
(617) 817-3312
Entity
Organization
Contact information
Practice address
172 SPRING ST, WEST ROXBURY, MA 02132-5020
(617) 323-5000
Mailing address
63 COURT ST, BOSTON, MA 02108-2109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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