Organization
EL SHADDAI DENTAL ASSOCIATES MATTAPAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY O OLATUNJI DMD (OWNER)
(617) 298-1955
Entity
Organization
Contact information
Practice address
542 RIVER ST, MATTAPAN, MA 02126-3014
(617) 298-1955
(617) 296-6004
Mailing address
542 RIVER ST, MATTAPAN, MA 02126-3014
(617) 298-1955
(617) 296-6004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19621
MA
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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