| Bourne Bridge Dental. Llc | |
|
9 County Rd Bourne MA 02532-3756 | |
| (508) 759-8331 | |
| Not Available |
| Full Name | Bourne Bridge Dental. Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9 County Rd, Bourne, Massachusetts |
| Authorized Official Name and Position | Sylvia Koo (OWNER) |
| Authorized Official Contact | 8583429306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bourne Bridge Dental. Llc 9 County Rd Bourne MA 02532-3756 Ph: (508) 759-8331 | Bourne Bridge Dental. Llc 9 County Rd Bourne MA 02532-3756 Ph: (508) 759-8331 |
| NPI Number | 1437572625 |
|---|---|
| Provider Enumeration Date | 01/24/2014 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437572625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN22212 (Massachusetts) | Primary |
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