Beacon Dental Health Pc | |
628 Hancock St Wollaston MA 02170-2004 | |
(617) 418-6940 | |
Not Available |
Full Name | Beacon Dental Health Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 628 Hancock St, Wollaston, Massachusetts |
Authorized Official Name and Position | Rishi Shukla (AUTHORIZED ADMINISTRATOR) |
Authorized Official Contact | 6174186940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beacon Dental Health Pc 198 Tremont St Ste 436 Boston MA 02116-4705 Ph: (617) 418-6940 | Beacon Dental Health Pc 628 Hancock St Wollaston MA 02170-2004 Ph: (617) 418-6940 |
NPI Number | 1376186528 |
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Provider Enumeration Date | 10/21/2019 |
Last Update Date | 10/21/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376186528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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James M Mcdonough Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 628 Hancock Street, Wollaston, MA 02170 Phone: 617-479-8375 Fax: 617-479-8390 | |
Beacon Dental Health Ma Ii Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 628 Hancock St, Wollaston, MA 02170 Phone: 857-505-2986 Fax: 631-396-0452 | |
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