PERIODONTICS DENTAL IMPLANTS OF GREATER BOSTON NPI 1437316825

NPI Information

PERIODONTICS DENTAL IMPLANTS OF GREATER BOSTON is a periodontics dentist in Somerville, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTICS DENTAL IMPLANTS OF GREATER BOSTON NPI is 1437316825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 COLLEGE AVE
SUITE 201
SOMERVILLE, MA
ZIP 02144-914
Phone: (617) 776-7676
Fax: (617) 776-7677

The provider's authorized official is Sofia Ostrer-potapov .
The authorized official title is Owner/doctor and has the following contact phone number (617) 776-7676.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 5/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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