| My Dental Somerville | |
|
128 Broadway Somerville MA 02145-3201 | |
| (617) 764-3032 | |
| Not Available |
| Full Name | My Dental Somerville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 128 Broadway, Somerville, Massachusetts |
| Authorized Official Name and Position | Srinivas Desaneedi (OWNER/CEO) |
| Authorized Official Contact | 7402158549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dental Somerville 20 Balancing Rock Rd Canton MA 02021-4230 Ph: () - | My Dental Somerville 128 Broadway Somerville MA 02145-3201 Ph: (617) 764-3032 |
| NPI Number | 1073242988 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073242988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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