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Organization

RELIANT DENTAL GROUP PC

Active
Parent organization
RELIANT DENTAL GROUP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RELIANT DENTAL GROUP LLC
Authorized official
THIAGO SOARES (ADMINISTRATOR)
(508) 250-6936
Entity
Organization

Contact information

Practice address
1996 CENTRE ST STE 201, WEST ROXBURY, MA 02132-3330
(617) 221-8000
(617) 531-2081
Mailing address
1996 CENTRE ST STE 201, WEST ROXBURY, MA 02132-3330
(617) 221-8000
(617) 531-2081

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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