Parkway Dental LLC

NPI #1154664027 in Roslindale, Massachusetts

Provider Information

NPI Number: 1154664027
Entity Type: Organization
Organization Name: Parkway Dental LLC
Primary Specialty: Dentist
Enumeration Date: Mar 29, 2013
Last Updated: Mar 29, 2013

Practice Location

Address: 893 SOUTH ST
City: Roslindale
State: Massachusetts
ZIP Code: 02131-2411
Phone: (617) 323-3443

Authorized Official

Name: DR. RAMESH IZEDIAN, D.M.D.
Title: OWNER
Phone: (508) 676-8268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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