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1063758639
BACK BAY DENTAL GROUP LLC
BOSTON, MA
NPI
1063758639
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Entity Type
Organization
Authorized Contact
RICHARD MILLER
President
617-921-6292
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2012-12-29
Last Update Date
2013-01-03
Business Address
BACK BAY DENTAL GROUP LLC
21 BAY STATE RD
BOSTON, MA 02215-2101
Phone number: 617-247-9966
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Mailing Address
BACK BAY DENTAL GROUP LLC
21 BAY STATE RD
BOSTON, MA 02215-2101
Phone number:
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