Organization
MY DENTAL WATERTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DESANEEDI DMD (OWNER)
(740) 215-8549
Entity
Organization
Contact information
Practice address
171 WATERTOWN ST, WATERTOWN, MA 02472-2699
(617) 467-5113
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
08/30/2023
Last updated
08/30/2023
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