| Han Solo Dmd, Pc. | |
|
44 Everett Street Southbridge MA 01550-2686 | |
| (508) 764-4600 | |
| (508) 765-5862 |
| Full Name | Han Solo Dmd, Pc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44 Everett Street, Southbridge, Massachusetts |
| Authorized Official Name and Position | Han Soo Lho (OWNER) |
| Authorized Official Contact | 6173594971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Han Solo Dmd, Pc. 44 Everett Street Southbridge MA 01550-2686 Ph: (508) 764-4600 | Han Solo Dmd, Pc. 44 Everett Street Southbridge MA 01550-2686 Ph: (508) 764-4600 |
| NPI Number | 1922360908 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922360908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN21025 (Massachusetts) | Primary |
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