Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 55 Oak Rd, North Eastham, Massachusetts |
Authorized Official Name and Position | Arthur J. Hartung (MANAGER/PRESIDENT) |
Authorized Official Contact | 5082550557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1890 North Eastham MA 02651-1890 Ph: (508) 255-0557 | 55 Oak Rd North Eastham MA 02651 Ph: (508) 255-0557 |
NPI Number | 1831327279 |
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Provider Enumeration Date | 06/24/2009 |
Last Update Date | 06/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831327279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 13719 (Massachusetts) | Primary |