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Organization
MY DENTAL EAST BOSTON
Active
Organization
MY DENTAL EAST BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DESANEEDI DMD (TREASURE)
(740) 215-8549
Entity
Organization
Contact information
Practice address
151 MERIDIAN ST, EAST BOSTON, MA 02128-1675
(740) 215-8549
Mailing address
20 BALANCING ROCK RD, CANTON, MA 02021-4230
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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