| Dentistry On Park, Llc | |
|
19 Park St Stoughton MA 02072-2913 | |
| (781) 341-8966 | |
| Not Available |
| Full Name | Dentistry On Park, Llc |
|---|---|
| Speciality | Dentist |
| Location | 19 Park St, Stoughton, Massachusetts |
| Authorized Official Name and Position | Maryam Douraghy (OWNER/DENTIST) |
| Authorized Official Contact | 7813418966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry On Park, Llc 19 Park St Stoughton MA 02072-2913 Ph: (781) 341-8966 | Dentistry On Park, Llc 19 Park St Stoughton MA 02072-2913 Ph: (781) 341-8966 |
| NPI Number | 1891182242 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891182242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18108 (Massachusetts) | Primary |
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