| Roumani Cosmetic Dental Services | |
|
1811 Centre St West Roxbury MA 02132-1945 | |
| (626) 483-9965 | |
| Not Available |
| Full Name | Roumani Cosmetic Dental Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1811 Centre St, West Roxbury, Massachusetts |
| Authorized Official Name and Position | Leila Roumani (DENTIST) |
| Authorized Official Contact | 6264839965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roumani Cosmetic Dental Services 14 Centre St Apt 4 Cambridge MA 02139-2109 Ph: (626) 483-9965 | Roumani Cosmetic Dental Services 1811 Centre St West Roxbury MA 02132-1945 Ph: (626) 483-9965 |
| NPI Number | 1992008049 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992008049 | NPI | - | NPPES |
| 1730401662 | Other | MA | PREVIOUS NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1855307 (Massachusetts) | Primary |
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