| Cape Cod Restorative Dentistry, Inc | |
|
923 Main St Unit H Yarmouth Port MA 02675-2159 | |
| (617) 325-0660 | |
| Not Available |
| Full Name | Cape Cod Restorative Dentistry, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 923 Main St Unit H, Yarmouth Port, Massachusetts |
| Authorized Official Name and Position | Olga Shemanyuk (GENERAL DENTIST) |
| Authorized Official Contact | 6173250660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Cod Restorative Dentistry, Inc 151 Coolidge Ave Apt 410 Watertown MA 02472-2866 Ph: (617) 325-0660 | Cape Cod Restorative Dentistry, Inc 923 Main St Unit H Yarmouth Port MA 02675-2159 Ph: (617) 325-0660 |
| NPI Number | 1659828085 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659828085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856256 (Massachusetts) | Primary |
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