Central Mass Dental Pllc | |
320 W Broadway Gardner MA 01440-3480 | |
(978) 410-9664 | |
Not Available |
Full Name | Central Mass Dental Pllc |
---|---|
Speciality | Dentist |
Location | 320 W Broadway, Gardner, Massachusetts |
Authorized Official Name and Position | Yoon Hwan Edward Jeong (DENTIST) |
Authorized Official Contact | 9789142645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Mass Dental Pllc 201 Westford Hills Rd Westford MA 01886-2940 Ph: () - | Central Mass Dental Pllc 320 W Broadway Gardner MA 01440-3480 Ph: (978) 410-9664 |
NPI Number | 1356110472 |
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Provider Enumeration Date | 12/29/2023 |
Last Update Date | 12/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356110472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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