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Organization

DIMOCK COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELICIA MARIA WALDRON (DEVELOPMENT SPECIALIST)
(617) 442-8800
Entity
Organization

Contact information

Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
67 WELLES AVE, DORCHESTER, MA 02124-3637

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
10/08/2012
Last updated
10/08/2012
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