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Organization

PRUDENTIAL DENTAL ASSOCIATES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEX ADELI MDM (PRESIDENT)
(617) 267-3889
Entity
Organization

Contact information

Practice address
575 BOYLSTON ST, 7TH FLOOR, BOSTON, MA 02116-3607
(617) 267-3889
(617) 267-3819
Mailing address
575 BOYLSTON ST, 7TH FLOOR, BOSTON, MA 02116-3607
(617) 267-3889
(617) 267-3819

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20677
MA

Other

Enumeration date
03/25/2009
Last updated
03/25/2009
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