Organization
MY DENTAL DANVERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS DESANEEDI DMD (OWNER)
(978) 777-8111
Entity
Organization
Contact information
Practice address
139 ENDICOTT ST, DANVERS, MA 01923-4803
(978) 777-8111
Mailing address
139 ENDICOTT ST, DANVERS, MA 01923-4803
(978) 777-8111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN22184
MA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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