| Hanover Dental Pc | |
|
225 Hanover St Hanover MA 02339-2208 | |
| (781) 826-2961 | |
| (781) 826-8346 |
| Full Name | Hanover Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 225 Hanover St, Hanover, Massachusetts |
| Authorized Official Name and Position | Rashmi Vasudeva (GENERAL DENTIST) |
| Authorized Official Contact | 7818262961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Dental Pc 225 Hanover St Hanover MA 02339-2208 Ph: (781) 826-2961 | Hanover Dental Pc 225 Hanover St Hanover MA 02339-2208 Ph: (781) 826-2961 |
| NPI Number | 1679776652 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679776652 | NPI | - | NPPES |
| 0203670 | Other | MA | MASS HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20941 (Massachusetts) | Primary |
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