| Commonwealth Pediatric Dental | |
|
302 Broadway Unit 1 Raynham MA 02767-1439 | |
| (508) 884-4000 | |
| (508) 884-4003 |
| Full Name | Commonwealth Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 302 Broadway Unit 1, Raynham, Massachusetts |
| Authorized Official Name and Position | Raymond Michael Murphy (OWNER/PRESIDENT) |
| Authorized Official Contact | 5088844000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Pediatric Dental 302 Broadway Unit 1 Raynham MA 02767-1439 Ph: (508) 884-4000 | Commonwealth Pediatric Dental 302 Broadway Unit 1 Raynham MA 02767-1439 Ph: (508) 884-4000 |
| NPI Number | 1073853289 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073853289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN1855240 (Massachusetts) | Primary |
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