Community Family Dental, Llc | |
644 American Legion Hwy Roslindale MA 02131-3901 | |
(617) 553-8100 | |
(617) 321-4023 |
Full Name | Community Family Dental, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 644 American Legion Hwy, Roslindale, Massachusetts |
Authorized Official Name and Position | Elena Siniaver (MEMBER) |
Authorized Official Contact | 6175127007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Family Dental, Llc 644 American Legion Hwy Roslindale MA 02131-3901 Ph: (617) 553-8100 | Community Family Dental, Llc 644 American Legion Hwy Roslindale MA 02131-3901 Ph: (617) 553-8100 |
NPI Number | 1699905703 |
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Provider Enumeration Date | 07/23/2009 |
Last Update Date | 07/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699905703 | NPI | - | NPPES |
0200697 | Other | MA | MASSHEALTH NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN20118 (Massachusetts) | Primary |
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