| NPI | 1326121138 |
|---|---|
| Doing Business As | BACK BAY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JACK J KLAUSNER Owner 617-247-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |