| West Broadway Family Dental, Llc | |
|
385 West Broadway South Boston MA 02127 | |
| (617) 268-8242 | |
| Not Available |
| Full Name | West Broadway Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 385 West Broadway, South Boston, Massachusetts |
| Authorized Official Name and Position | Garima Rana (MEMBER) |
| Authorized Official Contact | 6462876946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Broadway Family Dental, Llc 385 West Broadway South Boston MA 02127 Ph: () - | West Broadway Family Dental, Llc 385 West Broadway South Boston MA 02127 Ph: (617) 268-8242 |
| NPI Number | 1194017871 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194017871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1855380 (Massachusetts) | Primary |
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