| Kailash Suri Dmd Inc | |
|
1199 Blue Hill Avenue Mattapan MA 02126-1838 | |
| (617) 296-5500 | |
| Not Available |
| Full Name | Kailash Suri Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1199 Blue Hill Avenue, Mattapan, Massachusetts |
| Authorized Official Name and Position | Kailash Suri (PRESIDENT) |
| Authorized Official Contact | 6172965500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kailash Suri Dmd Inc 1199 Blue Hill Avenue Mattapan MA 02126-1838 Ph: (617) 296-5500 | Kailash Suri Dmd Inc 1199 Blue Hill Avenue Mattapan MA 02126-1838 Ph: (617) 296-5500 |
| NPI Number | 1538232418 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538232418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11558 (Massachusetts) | Primary |
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