Organization
KIDS ZONE DENTAL MA
Active
Other names
Kids Zone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUPREETH VEERANNA DMD (MEMBER)
(508) 499-8251
Entity
Organization
Contact information
Practice address
101 SUTTON AVE, OXFORD, MA 01540-1812
(508) 499-8251
Mailing address
85 FRANKLIN ST, NEEDHAM, MA 02494-2939
(508) 499-8251
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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