Canton Modern Dentistry, Pc | |
95 Washington St Ste 222 Canton MA 02021-4009 | |
(781) 451-3150 | |
(781) 451-3240 |
Full Name | Canton Modern Dentistry, Pc |
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Speciality | Dentist - General Practice |
Location | 95 Washington St Ste 222, Canton, Massachusetts |
Authorized Official Name and Position | David Y. Lee (OWNER DOCTOR) |
Authorized Official Contact | 7814513150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Canton Modern Dentistry, Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Canton Modern Dentistry, Pc 95 Washington St Ste 222 Canton MA 02021-4009 Ph: (781) 451-3150 |
NPI Number | 1932845641 |
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Provider Enumeration Date | 05/06/2022 |
Last Update Date | 05/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932845641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Secondary |
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