Sri Dental Arts PC

NPI #1467838797 in W Roxbury, Massachusetts

Provider Information

NPI Number: 1467838797
Entity Type: Organization
Organization Name: Sri Dental Arts PC
Primary Specialty: Dentist
Enumeration Date: Aug 10, 2015
Last Updated: Aug 10, 2015

Practice Location

Address: 1811 CENTRE ST
Address 2: WEST ROXBURY DENTAL ARTS
City: W Roxbury
State: Massachusetts
ZIP Code: 02132
Phone: (617) 323-0800

Authorized Official

Name: DR. SRISMITHA MODEM
Title: DMD
Phone: (617) 784-3133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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