Dental Dreams, LLC

NPI #1225207517 in Roxbury, Massachusetts

Provider Information

NPI Number: 1225207517
Entity Type: Organization
Organization Name: Dental Dreams, LLC
Primary Specialty: Dentist
Enumeration Date: Feb 21, 2008
Last Updated: Feb 21, 2008

Practice Location

Address: 3033 WASHINGTON ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119-1227
Phone: (617) 541-2200

Authorized Official

Name: MR. TROY T KLUCK
Title: VP MARKETING / COMPLIANCE
Phone: (920) 838-1649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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