CDG BACK BAY LLC

NPI # 

Practice Address:

400 Commonwealth Ave 3Rd Floor

Boston, MA, 02215

Practice Phone:

617-266-8770

Practice Fax:

617-266-9530

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X