| Parkway Dental Llc | |
|
893 South St Roslindale MA 02131-2411 | |
| (617) 323-3443 | |
| (617) 323-3350 |
| Full Name | Parkway Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 893 South St, Roslindale, Massachusetts |
| Authorized Official Name and Position | Ramesh Izedian (OWNER) |
| Authorized Official Contact | 5086768268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Dental Llc 893 South St Roslindale MA 02131-2411 Ph: (617) 323-3443 | Parkway Dental Llc 893 South St Roslindale MA 02131-2411 Ph: (617) 323-3443 |
| NPI Number | 1154664027 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 03/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154664027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18174 (Massachusetts) | Primary |
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