| Pondside Associates, Llc | |
|
793 Centre St Jamaica Plain MA 02130-2736 | |
| (617) 522-1970 | |
| Not Available |
| Full Name | Pondside Associates, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 793 Centre St, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | John Tieu (OWNER/ DENTIST) |
| Authorized Official Contact | 6175221970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pondside Associates, Llc P.o.box 301697 Jamaica Plain MA 02130 Ph: (617) 522-1970 | Pondside Associates, Llc 793 Centre St Jamaica Plain MA 02130-2736 Ph: (617) 522-1970 |
| NPI Number | 1912188574 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912188574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20059 (Massachusetts) | Primary |
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