Organization
SOUTH STREET DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMA BIMBLI DMD (OWNER)
(617) 934-5227
Entity
Organization
Contact information
Practice address
276 SOUTH ST, QUINCY, MA 02169-7044
(617) 934-5227
Mailing address
276 SOUTH ST, QUINCY, MA 02169-7044
(617) 934-5227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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