Provider Demographics
NPI:1952315954
Name:RALPH B SOZIO DMD PC
Entity Type:Organization
Organization Name:RALPH B SOZIO DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:SOZIO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-723-4032
Mailing Address - Street 1:10 HAWTHORNE PL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2336
Mailing Address - Country:US
Mailing Address - Phone:617-723-4032
Mailing Address - Fax:617-723-4059
Practice Address - Street 1:10 HAWTHORNE PL
Practice Address - Street 2:SUITE 102
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2336
Practice Address - Country:US
Practice Address - Phone:617-723-4032
Practice Address - Fax:617-723-4059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA97331223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty