Organization
BARRY L SPIRO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY SPIRO (OWNER)
(617) 524-7860
Entity
Organization
Contact information
Practice address
670 CENTRE ST, JAMAICA PLAIN, MA 02130-2511
(617) 524-7860
Mailing address
670 CENTRE ST, JAMAICA PLAIN, MA 02130-2511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16374
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267945
—
MA
Enumeration date
04/02/2009
Last updated
04/02/2009
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