| Atlantis Dental Llc | |
|
118 Concord St Framingham MA 01702-8304 | |
| (508) 270-5050 | |
| (508) 270-5060 |
| Full Name | Atlantis Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 118 Concord St, Framingham, Massachusetts |
| Authorized Official Name and Position | Boris Lipovetskiy (DENTIST) |
| Authorized Official Contact | 5082705050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantis Dental Llc 118 Concord St Framingham MA 01702-8304 Ph: (508) 270-5050 | Atlantis Dental Llc 118 Concord St Framingham MA 01702-8304 Ph: (508) 270-5050 |
| NPI Number | 1003952839 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003952839 | NPI | - | NPPES |
| X12129 | Other | MA | BCBS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18645 (Massachusetts) | Primary |
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