Organization
MY DENTAL LAWRENCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DESANEEDI DMD (OWNER/DENTIST)
(740) 215-8549
Entity
Organization
Contact information
Practice address
MY DENTAL LAWRENCE PLLC, 465 SOUTH BROADWAY, LAWRENCE, MA 01843
(740) 215-8549
Mailing address
20 BALANCING ROCK RD, CANTON, MA 02021-4230
(740) 215-8549
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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