| Agnieszka E Shanahan, Dmd, Pc | |
|
239 Main St Spencer MA 01562-1740 | |
| (508) 885-6956 | |
| (508) 885-2025 |
| Full Name | Agnieszka E Shanahan, Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 239 Main St, Spencer, Massachusetts |
| Authorized Official Name and Position | Agnieszka E Shanahan (OWNER) |
| Authorized Official Contact | 7742397205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnieszka E Shanahan, Dmd, Pc 239 Main St Spencer MA 01562-1740 Ph: (508) 885-6956 | Agnieszka E Shanahan, Dmd, Pc 239 Main St Spencer MA 01562-1740 Ph: (508) 885-6956 |
| NPI Number | 1891151072 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891151072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1855392 (Massachusetts) | Primary |
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