My Dental Watertown
NPI #1669257317 in Watertown, Massachusetts
Provider Information
- NPI Number
- 1669257317
- Entity Type
- Organization
- Organization Name
- My Dental Watertown
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 30, 2023
- Last Updated
- Aug 30, 2023
Practice Location
- Address
- 171 WATERTOWN ST
- City
- Watertown
- State
- Massachusetts
- ZIP Code
- 02472-2699
- Phone
- (617) 467-5113
Authorized Official
- Name
- SRINIVAS DESANEEDI, DMD
- Title
- OWNER
- Phone
- (740) 215-8549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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