| Centre Street Dental Care | |
|
379a Centre St Jamaica Plain MA 02130-1241 | |
| (617) 553-4838 | |
| Not Available |
| Full Name | Centre Street Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 379a Centre St, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Mehdi Rahmatpour (OWNER) |
| Authorized Official Contact | 6175534838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre Street Dental Care 379a Centre St Jamaica Plain MA 02130-1241 Ph: (617) 553-4838 | Centre Street Dental Care 379a Centre St Jamaica Plain MA 02130-1241 Ph: (617) 553-4838 |
| NPI Number | 1720230618 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720230618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19757 (Massachusetts) | Primary |
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