My Dental Columbi a PC
NPI #1215430152 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1215430152
- Entity Type
- Organization
- Organization Name
- My Dental Columbi a PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 16, 2018
- Last Updated
- Mar 16, 2018
Practice Location
- Address
- 653 COLUMBIA RD
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02125-1712
- Phone
- (740) 215-8549
Authorized Official
- Name
- DR. SRINIVAS DESANEEDI, DMD
- Title
- DENTIST
- Phone
- (740) 215-8549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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