Springfield Family Dental PC
NPI #1962126094 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1962126094
- Entity Type
- Organization
- Organization Name
- Springfield Family Dental PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 3, 2022
- Last Updated
- Oct 3, 2022
Practice Location
- Address
- 315 CENTRE ST STE 3
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-1414
- Phone
- (617) 524-5400
Authorized Official
- Name
- RAYMOND JOSEPH RUDDY
- Title
- CFO
- Phone
- (508) 505-7981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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