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Organization
WEST ROXBURY DENTAL ARTS
Active
Organization
WEST ROXBURY DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMER RAMADAN (DIRECTOR)
(617) 323-0080
Entity
Organization
Contact information
Practice address
1811 CENTRE ST, WEST ROXBURY, MA 02132-1945
(617) 323-0080
Mailing address
1811 CENTRE ST, WEST ROXBURY, MA 02132-1945
(617) 323-0080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15388
MA
1223G0001X
General Practice Dentistry
1855474
MA
1223G0001X
General Practice Dentistry
Primary
21395
MA
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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