Dental Service of Massachusetts, Inc.

NPI #1609210319 in Boston, Massachusetts

Provider Information

NPI Number: 1609210319
Entity Type: Organization
Organization Name: Dental Service of Massachusetts, Inc.
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2013
Last Updated: Apr 24, 2013

Practice Location

Address: 465 MEDFORD ST
City: Boston
State: Massachusetts
ZIP Code: 02129-1426
Phone: (617) 886-1683

Authorized Official

Name: FAY DONOHUE
Title: PRESIDENT AND CEO
Phone: (617) 886-1410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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