My Dental Southbridge Pllc
NPI #1316722069 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1316722069
- Entity Type
- Organization
- Organization Name
- My Dental Southbridge Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 30, 2023
- Last Updated
- Aug 30, 2023
Practice Location
- Address
- 305 MAIN ST
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550-3726
- Phone
- (508) 765-0880
Authorized Official
- Name
- SRINIVAS DESANEEDI, DMD
- Title
- OWNER
- Phone
- (740) 215-8549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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