Organization
GLOBUS DENTAL CARE CENTER AT MATTAPAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANGANAYAKI CHIRUMAMILLA DMD (PRESIDENT)
(214) 336-9767
Entity
Organization
Contact information
Practice address
1634 BLUE HILL AVE, MATTAPAN, MA 02126-2121
(617) 298-2000
Mailing address
1634 BLUE HILL AVE, MATTAPAN, MA 02126-2121
(617) 298-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21848
MA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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