| Celestial Smile Dental Associates - Ma Pc | |
|
376 Warren St Roxbury MA 02119-1830 | |
| (781) 774-9885 | |
| Not Available |
| Full Name | Celestial Smile Dental Associates - Ma Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 376 Warren St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Anthony O Olatunji (DENTIST-PRESIDENT) |
| Authorized Official Contact | 7817749885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celestial Smile Dental Associates - Ma Pc 376 Warren St Roxbury MA 02119-1830 Ph: (781) 774-9885 | Celestial Smile Dental Associates - Ma Pc 376 Warren St Roxbury MA 02119-1830 Ph: (781) 774-9885 |
| NPI Number | 1316590839 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316590839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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