Sri Dental Arts Pc | |
1811 Centre St West Roxbury Dental Arts W Roxbury MA 02132 | |
(617) 323-0800 | |
Not Available |
Full Name | Sri Dental Arts Pc |
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Speciality | Dentist |
Location | 1811 Centre St, W Roxbury, Massachusetts |
Authorized Official Name and Position | Srismitha Modem (DMD) |
Authorized Official Contact | 6177843133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sri Dental Arts Pc 1811 Centre St West Roxbury Dental Arts W Roxbury MA 02132 Ph: (617) 323-0800 | Sri Dental Arts Pc 1811 Centre St West Roxbury Dental Arts W Roxbury MA 02132 Ph: (617) 323-0800 |
NPI Number | 1467838797 |
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Provider Enumeration Date | 08/10/2015 |
Last Update Date | 08/10/2015 |
Identifier | Type | State | Issuer |
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1467838797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DN21334 (Massachusetts) | Primary |