Organization
ROUMANI COSMETIC DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEILA ROUMANI D.M.D. (DENTIST)
(626) 483-9965
Entity
Organization
Contact information
Practice address
1811 CENTRE ST, WEST ROXBURY, MA 02132-1945
(626) 483-9965
Mailing address
14 CENTRE ST APT 4, CAMBRIDGE, MA 02139-2109
(626) 483-9965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855307
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730401662
PREVIOUS NPI NUMBER
MA
Enumeration date
12/13/2010
Last updated
12/13/2010
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