My Dental Southbridge Pllc | |
305 Main St Southbridge MA 01550-3726 | |
(508) 765-0880 | |
Not Available |
Full Name | My Dental Southbridge Pllc |
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Speciality | Clinic/center - Dental |
Location | 305 Main St, Southbridge, Massachusetts |
Authorized Official Name and Position | Srinivas Desaneedi (OWNER) |
Authorized Official Contact | 7402158549 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Dental Southbridge Pllc 20 Balancing Rock Rd Canton MA 02021-4230 Ph: (740) 215-8549 | My Dental Southbridge Pllc 305 Main St Southbridge MA 01550-3726 Ph: (508) 765-0880 |
NPI Number | 1316722069 |
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Provider Enumeration Date | 08/30/2023 |
Last Update Date | 08/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316722069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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