| Sri Dental Arts Pc | |
|
1811 Centre St West Roxbury Dental Arts W Roxbury MA 02132 | |
| (617) 323-0800 | |
| Not Available |
| Full Name | Sri Dental Arts Pc |
|---|---|
| Speciality | Dentist |
| Location | 1811 Centre St, W Roxbury, Massachusetts |
| Authorized Official Name and Position | Srismitha Modem (DMD) |
| Authorized Official Contact | 6177843133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sri Dental Arts Pc 1811 Centre St West Roxbury Dental Arts W Roxbury MA 02132 Ph: (617) 323-0800 | Sri Dental Arts Pc 1811 Centre St West Roxbury Dental Arts W Roxbury MA 02132 Ph: (617) 323-0800 |
| NPI Number | 1467838797 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467838797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21334 (Massachusetts) | Primary |