| Glicksman-gomes, Llc | |
|
49 State Road Nauset Bldg. Dartmouth MA 02747 | |
| (508) 999-2234 | |
| Not Available |
| Full Name | Glicksman-gomes, Llc |
|---|---|
| Speciality | Dentist |
| Location | 49 State Road Nauset Bldg., Dartmouth, Massachusetts |
| Authorized Official Name and Position | Marly J. Gomes (OWNER) |
| Authorized Official Contact | 5089992234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glicksman-gomes, Llc 49 State Road Nauset Bldg. Dartmouth MA 02747 Ph: (508) 999-2234 | Glicksman-gomes, Llc 49 State Road Nauset Bldg. Dartmouth MA 02747 Ph: (508) 999-2234 |
| NPI Number | 1427465368 |
|---|---|
| Provider Enumeration Date | 07/11/2014 |
| Last Update Date | 07/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427465368 | NPI | - | NPPES |
| 110076658A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21610 (Massachusetts) | Primary |
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Mills And Ghenta, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Hawthorn St Ste 2, Dartmouth, MA 02747 Phone: 508-997-6617 | |
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