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Organization

MY DENTAL NEW BEDFORD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SRINIVAS DESANEEDI DMD (PRESIDENT)
(740) 215-8549
Entity
Organization

Contact information

Practice address
770 PURCHASE ST, NEW BEDFORD, MA 02740
(740) 215-8549
Mailing address
20 BALANCING ROCK RD, CANTON, MA 02021-4230
(740) 215-8549

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/17/2018
Last updated
01/17/2018
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