Organization
COLUMBIA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANHPHI THI NGUYEN DMD (PRACTICE OWNER)
(617) 825-9100
Entity
Organization
Contact information
Practice address
653 COLUMBIA RD, FL.1, DORCHESTER, MA 02125-1712
(617) 825-9100
(617) 825-5006
Mailing address
653 COLUMBIA RD, FL.1, DORCHESTER, MA 02125-1712
(617) 825-9100
(617) 825-5006
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
21968
MA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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