Celestial Smile Dental Associates - Ma PC

NPI #1316590839 in Roxbury, Massachusetts

Provider Information

NPI Number: 1316590839
Entity Type: Organization
Organization Name: Celestial Smile Dental Associates - Ma PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 23, 2019
Last Updated: Jul 23, 2019

Practice Location

Address: 376 WARREN ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119-1830
Phone: (781) 774-9885

Authorized Official

Name: DR. ANTHONY O OLATUNJI, DMD
Title: DENTIST-PRESIDENT
Phone: (781) 774-9885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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