Organization
MATTAPAN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA KASHPER (HR)
(781) 400-5920
Entity
Organization
Contact information
Practice address
542 RIVER ST, MATTAPAN, MA 02126-3014
(781) 400-5920
Mailing address
220 RESERVOIR ST STE 9, NEEDHAM, MA 02494-3133
(781) 400-5920
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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