Organization
NORTH EAST DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEYASRI GUNARAJASINGAM DMD (PRESIDENT)
(617) 922-8555
Entity
Organization
Contact information
Practice address
1444 DORCHESTER AVE, DORCHESTER, MA 02122-2951
(617) 436-7030
Mailing address
1444 DORCHESTER AVE, DORCHESTER, MA 02122-2951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17100
MA
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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