| Canton Family Dental | |
|
713 Washington St Canton MA 02021-3037 | |
| (781) 575-6770 | |
| Not Available |
| Full Name | Canton Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 713 Washington St, Canton, Massachusetts |
| Authorized Official Name and Position | Li Wang (MEMBER) |
| Authorized Official Contact | 7815756770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Family Dental 713 Washington St Canton MA 02021-3037 Ph: (781) 575-6770 | Canton Family Dental 713 Washington St Canton MA 02021-3037 Ph: (781) 575-6770 |
| NPI Number | 1043635642 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043635642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21577 (Massachusetts) | Primary |
| 122300000X | Dentist | 22167 (Massachusetts) | Secondary |
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