Organization
CENTRE STREET DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI RAHMATPOUR D.M.D (OWNER)
(617) 553-4838
Entity
Organization
Contact information
Practice address
379A CENTRE ST, JAMAICA PLAIN, MA 02130-1241
(617) 553-4838
Mailing address
379A CENTRE ST, JAMAICA PLAIN, MA 02130-1241
(617) 553-4838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19757
MA
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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