| North East Dental Group | |
|
1444 Dorchester Ave Dorchester MA 02122-2951 | |
| (617) 436-7030 | |
| Not Available |
| Full Name | North East Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1444 Dorchester Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Jeyasri Gunarajasingam (PRESIDENT) |
| Authorized Official Contact | 6179228555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North East Dental Group 1444 Dorchester Ave Dorchester MA 02122-2951 Ph: () - | North East Dental Group 1444 Dorchester Ave Dorchester MA 02122-2951 Ph: (617) 436-7030 |
| NPI Number | 1699197434 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 01/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699197434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17100 (Massachusetts) | Primary |
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