| Krochmal Dental Inc | |
| 
					893 South St Roslindale MA 02131-2411  | |
| (617) 323-3443 | |
| Not Available | 
| Full Name | Krochmal Dental Inc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 893 South St, Roslindale, Massachusetts | 
| Authorized Official Name and Position | Jonathan Krochmal (OWNER/DENTIST) | 
| Authorized Official Contact | 7576360378 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Krochmal Dental Inc 893 South St Roslindale MA 02131-2411 Ph: (617) 323-3443  | Krochmal Dental Inc 893 South St Roslindale MA 02131-2411 Ph: (617) 323-3443  | 
| NPI Number | 1194447789 | 
|---|---|
| Provider Enumeration Date | 09/12/2022 | 
| Last Update Date | 09/12/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194447789 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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