Organization
COLUMBIA DENTAL MANAGEMENT, INC.
Active
Other names
Columbia & Broadway, Orthodontics, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M ADAMS (PRESIDENT)
(617) 825-9100
Entity
Organization
Contact information
Practice address
653 COLUMBIA RD, DORCHESTER, MA 02125
(617) 825-9100
(617) 506-1141
Mailing address
653 COLUMBIA RD, DORCHESTER, MA 02125
(617) 825-9100
(617) 506-1141
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12597
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9903954
—
MA
Enumeration date
11/18/2011
Last updated
02/04/2016
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