| Harvard St. Dental Assoc,inc.pc | |
|
364 Harvard St Brookline MA 02446-2920 | |
| (617) 232-6188 | |
| (617) 232-6188 |
| Full Name | Harvard St. Dental Assoc,inc.pc |
|---|---|
| Speciality | Dentist |
| Location | 364 Harvard St, Brookline, Massachusetts |
| Authorized Official Name and Position | Bhovani Sriramaneni (OWNER) |
| Authorized Official Contact | 6172326188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard St. Dental Assoc,inc.pc 364 Harvard St Brookline MA 02446-2920 Ph: (617) 232-6188 | Harvard St. Dental Assoc,inc.pc 364 Harvard St Brookline MA 02446-2920 Ph: (617) 232-6188 |
| NPI Number | 1063739217 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063739217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19322 (Massachusetts) | Primary |
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