My Dental Somerville
NPI #1073242988 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1073242988
- Entity Type
- Organization
- Organization Name
- My Dental Somerville
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 7, 2022
- Last Updated
- Jun 7, 2022
Practice Location
- Address
- 128 BROADWAY
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02145-3201
- Phone
- (617) 764-3032
Authorized Official
- Name
- DR. SRINIVAS DESANEEDI, DMD
- Title
- OWNER/CEO
- Phone
- (740) 215-8549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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