| Kevin P Mooney Dds Pc | |
|
3 Baldwin Green Cmn Suite 101 Woburn MA 01801-1865 | |
| (781) 932-5999 | |
| (781) 935-4804 |
| Full Name | Kevin P Mooney Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3 Baldwin Green Cmn, Woburn, Massachusetts |
| Authorized Official Name and Position | Kevin P Mooney (PRESIDENT) |
| Authorized Official Contact | 7819325999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin P Mooney Dds Pc 3 Baldwin Green Cmn Suite 101 Woburn MA 01801-1865 Ph: (781) 932-5999 | Kevin P Mooney Dds Pc 3 Baldwin Green Cmn Suite 101 Woburn MA 01801-1865 Ph: (781) 932-5999 |
| NPI Number | 1578613865 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578613865 | NPI | - | NPPES |
| X11819 | Other | MA | BLUE CROSS BLUE SHIELD |
| 709783 | Other | MA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16749 (Massachusetts) | Primary |
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