Organization
COLUMBIAN SQUARE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KERR DMD (OWNER)
(781) 337-6644
Entity
Organization
Contact information
Practice address
59 COLUMBIAN ST, WEYMOUTH, MA 02190-2414
(781) 337-6644
Mailing address
59 COLUMBIAN ST, WEYMOUTH, MA 02190-2414
(781) 337-6644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15537
MA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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