My Dental Somerville
My Dental Somerville provides General Practice Dentistry in Somerville, Massachusetts. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
128 BroadwaySomerville, MA 02145-3201
Phone: (617) 764-3032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1073242988 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Srinivas Desaneedi — Owner/Ceo · (740) 215-8549 |
| NPI enumerated | June 7, 2022 |
| Last updated in NPPES | June 7, 2022 |
| Certification date | June 7, 2022 |
| Mailing address | 20 Balancing Rock Rd, Canton, MA 02021-4230 |
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