Organization
HARVARD ST. DENTAL ASSOC,INC.PC
Active
Parent organization
HARVARD ST. DENTAL ASSOC,INC.PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARVARD ST. DENTAL ASSOC,INC.PC
Authorized official
DR. BHOVANI SRIRAMANENI D.M.D. (OWNER)
(617) 232-6188
Entity
Organization
Contact information
Practice address
364 HARVARD ST, BROOKLINE, MA 02446-2920
(617) 232-6188
(617) 232-6188
Mailing address
364 HARVARD ST, BROOKLINE, MA 02446-2920
(617) 232-6188
(617) 232-6188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19322
MA
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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