Organization
DENTAL SERVICE OF MASSACHUSETTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAY DONOHUE (PRESIDENT AND CEO)
(617) 886-1410
Entity
Organization
Contact information
Practice address
465 MEDFORD ST, BOSTON, MA 02129-1426
(617) 886-1683
Mailing address
465 MEDFORD ST, BOSTON, MA 02129-1426
(617) 886-1683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MA
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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