West Broadway Family Dental, LLC
NPI #1194017871 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1194017871
- Entity Type
- Organization
- Organization Name
- West Broadway Family Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 12, 2011
- Last Updated
- May 12, 2011
Practice Location
- Address
- 385 WEST BROADWAY
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127
- Phone
- (617) 268-8242
Authorized Official
- Name
- GARIMA RANA
- Title
- MEMBER
- Phone
- (646) 287-6946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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