Organization
SEAPORT DENTAL ASSOCIATES, LLC
Active
Parent organization
SEAPORT DENTAL ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEAPORT DENTAL ASSOCIATES, LLC
Authorized official
DR. ELIZABETH GREENBERG ROONEY DMD (OWNER)
(617) 737-6453
Entity
Organization
Contact information
Practice address
588 RANDOLPH AVE, MILTON, MA 02186-4524
(617) 737-6453
(617) 737-6324
Mailing address
451 D ST STE 200, BOSTON, MA 02210-1964
(617) 737-6453
(617) 737-6324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21316
MA
Other
Enumeration date
09/17/2015
Last updated
03/08/2016
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