Organization
CHELSEA DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARATHAN KUMARAGURU DMD (DENTIST)
(617) 407-3383
Entity
Organization
Contact information
Practice address
109 WASHINGTON AVE, CHELSEA, MA 02150-3923
(617) 884-2824
Mailing address
100 EVERETT AVE, SUITE 5, CHELSEA, MA 02150-2309
(617) 884-4444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21243
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204625
—
MA
Enumeration date
07/31/2012
Last updated
10/02/2012
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