Organization
MY DENTAL COLUMBI A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS DESANEEDI DMD (DENTIST)
(740) 215-8549
Entity
Organization
Contact information
Practice address
653 COLUMBIA RD, DORCHESTER, MA 02125-1712
(740) 215-8549
Mailing address
20 BALANCING ROCK RD, CANTON, MA 02021-4230
(740) 215-8549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22184
MA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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