| My Dental Danvers Pc | |
|
139 Endicott St Danvers MA 01923-4803 | |
| (978) 777-8111 | |
| Not Available |
| Full Name | My Dental Danvers Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 139 Endicott St, Danvers, Massachusetts |
| Authorized Official Name and Position | Srinivas Desaneedi (OWNER) |
| Authorized Official Contact | 9787778111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dental Danvers Pc 139 Endicott St Danvers MA 01923-4803 Ph: (978) 777-8111 | My Dental Danvers Pc 139 Endicott St Danvers MA 01923-4803 Ph: (978) 777-8111 |
| NPI Number | 1821465022 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821465022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN22184 (Massachusetts) | Primary |
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