Reliant Dental Group

LBN: Gustavo Perdomo Dmd Pc
Reliant Dental Group is an health care organization with primary practice located at 1996 Centre St Ste 201 , West Roxbury MA 02132-3330. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Gustavo Perdomo Dmd Pc can be contacted via phone (508) 250-6936, or through Soares, Thiago via phone (508) 250-6936.

Contact Information

Primary practice address
1996 Centre St Ste 201 West Roxbury MA 02132-3330
Phone: (508) 250-6936
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Soares, Thiago
Phone: (508) 250-6936

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1578042669
LBN Legal business name Gustavo Perdomo Dmd Pc
DBA Doing business as Reliant Dental Group
Authorized official Soares, Thiago
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2018
Last updated Aug 9th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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