Reliant Dental Group PC
NPI #1104399443 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1104399443
- Entity Type
- Organization
- Organization Name
- Reliant Dental Group PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RELIANT DENTAL GROUP LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 9, 2019
- Last Updated
- Jan 9, 2019
Practice Location
- Address
- 1996 CENTRE ST STE 201
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-3330
- Phone
- (617) 221-8000
Authorized Official
- Name
- THIAGO SOARES
- Title
- ADMINISTRATOR
- Phone
- (508) 250-6936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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