Organization
CENTRE STREET FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CASEY (MANAGER)
(203) 415-7460
Entity
Organization
Contact information
Practice address
729 CENTRE ST, JAMAICA PLAIN, MA 02130-2520
(617) 524-1110
Mailing address
729 CENTRE ST, JAMAICA PLAIN, MA 02130-2520
(617) 524-1110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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