| Alliance Dental Center, Llc | |
|
111 Washington St Ste 301 Quincy MA 02169-5354 | |
| (617) 984-5300 | |
| (617) 481-0905 |
| Full Name | Alliance Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 Washington St Ste 301, Quincy, Massachusetts |
| Authorized Official Name and Position | Susan Fournier (CEO) |
| Authorized Official Contact | 6174265878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Dental Center, Llc Po Box 4114 Peabody MA 01961-4114 Ph: (617) 426-5878 | Alliance Dental Center, Llc 111 Washington St Ste 301 Quincy MA 02169-5354 Ph: (617) 984-5300 |
| NPI Number | 1922566041 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922566041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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