Harvard St. Dental Assoc,inc.pc

NPI #1063739217 in Brookline, Massachusetts

Provider Information

NPI Number: 1063739217
Entity Type: Organization
Organization Name: Harvard St. Dental Assoc,inc.pc
Subpart: Yes (part of a larger organization)
Parent Organization: HARVARD ST. DENTAL ASSOC,INC.PC
Primary Specialty: Dentist
Enumeration Date: Apr 28, 2010
Last Updated: Apr 28, 2010

Practice Location

Address: 364 HARVARD ST
City: Brookline
State: Massachusetts
ZIP Code: 02446-2920
Phone: (617) 232-6188

Authorized Official

Name: DR. BHOVANI SRIRAMANENI, D.M.D.
Title: OWNER
Phone: (617) 232-6188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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