| Jack And Jill Pediatric Dentistry, Llc | |
|
340 Wood Rd Suite 288 Braintree MA 02184-2401 | |
| (617) 913-8307 | |
| Not Available |
| Full Name | Jack And Jill Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 340 Wood Rd, Braintree, Massachusetts |
| Authorized Official Name and Position | Nguyet Minh Tau (DENTIST/OWNER) |
| Authorized Official Contact | 5088648997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack And Jill Pediatric Dentistry, Llc 340 Wood Road Suite 288 Braintree MA 02184 Ph: () - | Jack And Jill Pediatric Dentistry, Llc 340 Wood Rd Suite 288 Braintree MA 02184-2401 Ph: (617) 913-8307 |
| NPI Number | 1184002180 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184002180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21959 (Massachusetts) | Primary |
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