| Dental Collaborative | |
|
4452 Washington St Roslindale MA 02131-3440 | |
| (617) 323-6020 | |
| (617) 327-2977 |
| Full Name | Dental Collaborative |
|---|---|
| Speciality | Dentist |
| Location | 4452 Washington St, Roslindale, Massachusetts |
| Authorized Official Name and Position | Harry P Treon (OWNER) |
| Authorized Official Contact | 6173236020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Collaborative 4452 Washington St Roslindale MA 02131-3440 Ph: (617) 323-6020 | Dental Collaborative 4452 Washington St Roslindale MA 02131-3440 Ph: (617) 323-6020 |
| NPI Number | 1073757050 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 04/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073757050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18445 (Massachusetts) | Primary |
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