Organization
SHANTI DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOBICHETTYPALAYAM SRIKANTH (CFO)
(603) 818-9767
Entity
Organization
Contact information
Practice address
222 MILLIKEN BLVD, FALL RIVER, MA 02721-1623
(508) 672-7525
Mailing address
222 MILLIKEN BLVD, FALL RIVER, MA 02721-1623
(508) 672-7525
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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