| Somerville Family Dental, Pc | |
|
23 Bow St 1 Somerville MA 02143-2933 | |
| (908) 698-3206 | |
| Not Available |
| Full Name | Somerville Family Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23 Bow St, Somerville, Massachusetts |
| Authorized Official Name and Position | Nikhilesh Gorukanti (GENERAL DENTIST) |
| Authorized Official Contact | 9086983206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerville Family Dental, Pc 23 Bow St 1 Somerville MA 02143-2933 Ph: () - | Somerville Family Dental, Pc 23 Bow St 1 Somerville MA 02143-2933 Ph: (908) 698-3206 |
| NPI Number | 1700335478 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700335478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1856869 (Massachusetts) | Primary |
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