| My Dental Columbi A Pc | |
|
653 Columbia Rd Dorchester MA 02125-1712 | |
| (740) 215-8549 | |
| Not Available |
| Full Name | My Dental Columbi A Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 653 Columbia Rd, Dorchester, Massachusetts |
| Authorized Official Name and Position | Srinivas Desaneedi (DENTIST) |
| Authorized Official Contact | 7402158549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dental Columbi A Pc 20 Balancing Rock Rd Canton MA 02021-4230 Ph: (740) 215-8549 | My Dental Columbi A Pc 653 Columbia Rd Dorchester MA 02125-1712 Ph: (740) 215-8549 |
| NPI Number | 1215430152 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215430152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN22184 (Massachusetts) | Primary |
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