| Reliant Dental Group Pc | |
|
1996 Centre St Ste 201 West Roxbury MA 02132-3330 | |
| (617) 221-8000 | |
| (617) 531-2081 |
| Full Name | Reliant Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1996 Centre St Ste 201, West Roxbury, Massachusetts |
| Authorized Official Name and Position | Thiago Soares (ADMINISTRATOR) |
| Authorized Official Contact | 5082506936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Dental Group Pc 1996 Centre St Ste 201 West Roxbury MA 02132-3330 Ph: (617) 221-8000 | Reliant Dental Group Pc 1996 Centre St Ste 201 West Roxbury MA 02132-3330 Ph: (617) 221-8000 |
| NPI Number | 1104399443 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104399443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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