Columbian Square Dental, LLC
NPI #1447617535 in Weymouth, Massachusetts
Provider Information
- NPI Number
- 1447617535
- Entity Type
- Organization
- Organization Name
- Columbian Square Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 21, 2016
- Last Updated
- Jan 21, 2016
Practice Location
- Address
- 59 COLUMBIAN ST
- City
- Weymouth
- State
- Massachusetts
- ZIP Code
- 02190-2414
- Phone
- (781) 337-6644
Authorized Official
- Name
- STEPHEN J KERR, DMD
- Title
- OWNER
- Phone
- (781) 337-6644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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