| Bourne Dental Associates, Llc | |
|
1 Technology Park Dr Suite 1c Bourne MA 02532-8336 | |
| (508) 759-2724 | |
| Not Available |
| Full Name | Bourne Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Technology Park Dr, Bourne, Massachusetts |
| Authorized Official Name and Position | Suraiya M Shaikh (PRESIDENT) |
| Authorized Official Contact | 5087592724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bourne Dental Associates, Llc 1 Technology Park Dr Suite 1c Bourne MA 02532-8336 Ph: (508) 759-2724 | Bourne Dental Associates, Llc 1 Technology Park Dr Suite 1c Bourne MA 02532-8336 Ph: (508) 759-2724 |
| NPI Number | 1669777256 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669777256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20133 (Massachusetts) | Primary |
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