| Childrens Dental Health Center | |
|
966 Park St # C Stoughton MA 02072-3650 | |
| (781) 341-0030 | |
| (781) 341-1166 |
| Full Name | Childrens Dental Health Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 966 Park St # C, Stoughton, Massachusetts |
| Authorized Official Name and Position | Steven Lee Herschlag (PRESIDENT) |
| Authorized Official Contact | 7813410030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Health Center 966 Park St # C Stoughton MA 02072-3650 Ph: (781) 341-0030 | Childrens Dental Health Center 966 Park St # C Stoughton MA 02072-3650 Ph: (781) 341-0030 |
| NPI Number | 1114114360 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114114360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 16804 (Massachusetts) | Primary |
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