Organization
MY DENTAL SOMERVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS DESANEEDI DMD (OWNER/CEO)
(740) 215-8549
Entity
Organization
Contact information
Practice address
128 BROADWAY, SOMERVILLE, MA 02145-3201
(617) 764-3032
Mailing address
20 BALANCING ROCK RD, CANTON, MA 02021-4230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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