El Shaddai Dental Associates Mattapan PC

NPI #1376919696 in Mattapan, Massachusetts

Provider Information

NPI Number: 1376919696
Entity Type: Organization
Organization Name: El Shaddai Dental Associates Mattapan PC
Primary Specialty: Dentist
Enumeration Date: Aug 20, 2015
Last Updated: Aug 20, 2015

Practice Location

Address: 542 RIVER ST
City: Mattapan
State: Massachusetts
ZIP Code: 02126-3014
Phone: (617) 298-1955

Authorized Official

Name: DR. ANTHONY O OLATUNJI, DMD
Title: OWNER
Phone: (617) 298-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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