Pondside Associates, LLC
NPI #1912188574 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1912188574
- Entity Type
- Organization
- Organization Name
- Pondside Associates, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 23, 2007
- Last Updated
- Nov 23, 2007
Practice Location
- Address
- 793 CENTRE ST
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-2736
- Phone
- (617) 522-1970
Authorized Official
- Name
- DR. JOHN TIEU, D.D.S
- Title
- OWNER/ DENTIST
- Phone
- (617) 522-1970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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