Provider Demographics
NPI:1457564007
Name:TODAYS DENTAL OF BOXBOROUGH
Entity Type:Organization
Organization Name:TODAYS DENTAL OF BOXBOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VENIAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALMANOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-263-8950
Mailing Address - Street 1:629 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:BOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01719-1528
Mailing Address - Country:US
Mailing Address - Phone:978-263-8950
Mailing Address - Fax:978-263-1404
Practice Address - Street 1:629 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:BOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01719-1528
Practice Address - Country:US
Practice Address - Phone:978-263-8950
Practice Address - Fax:978-263-1404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19937122300000X
MA205411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Multi-Specialty
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty