Idg Ipswich Dental Pc | |
130 County Rd Ste D Ipswich MA 01938-2585 | |
(978) 356-0602 | |
Not Available |
Full Name | Idg Ipswich Dental Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 130 County Rd Ste D, Ipswich, Massachusetts |
Authorized Official Name and Position | Heejeong Son (DENTIST) |
Authorized Official Contact | 9783560602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Idg Ipswich Dental Pc 130 County Rd Ste D Ipswich MA 01938-2585 Ph: (978) 356-0602 | Idg Ipswich Dental Pc 130 County Rd Ste D Ipswich MA 01938-2585 Ph: (978) 356-0602 |
NPI Number | 1629616115 |
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Provider Enumeration Date | 12/15/2019 |
Last Update Date | 12/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629616115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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