My Dental East Boston
NPI #1780192393 in East Boston, Massachusetts
Provider Information
- NPI Number
- 1780192393
- Entity Type
- Organization
- Organization Name
- My Dental East Boston
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 17, 2018
- Last Updated
- Jan 17, 2018
Practice Location
- Address
- 151 MERIDIAN ST
- City
- East Boston
- State
- Massachusetts
- ZIP Code
- 02128-1675
- Phone
- (740) 215-8549
Authorized Official
- Name
- SRINIVAS DESANEEDI, DMD
- Title
- TREASURE
- Phone
- (740) 215-8549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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