Centre Street Family Dental PC

NPI #1376705178 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1376705178
Entity Type: Organization
Organization Name: Centre Street Family Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 2, 2008
Last Updated: Jul 2, 2008

Practice Location

Address: 729 CENTRE ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-2520
Phone: (617) 524-1110

Authorized Official

Name: MR. JOSEPH CASEY
Title: MANAGER
Phone: (203) 415-7460

Specialties & Taxonomy Codes

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

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