| Kids Dental Care Of Fall River, Pc | |
|
497 Robeson St Fall River MA 02720-5497 | |
| (508) 676-0111 | |
| Not Available |
| Full Name | Kids Dental Care Of Fall River, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 497 Robeson St, Fall River, Massachusetts |
| Authorized Official Name and Position | Michael Anthony Buccino (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5086760111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Care Of Fall River, Pc Po Box 1909 North Falmouth MA 02556-1909 Ph: (508) 676-0111 | Kids Dental Care Of Fall River, Pc 497 Robeson St Fall River MA 02720-5497 Ph: (508) 676-0111 |
| NPI Number | 1740485655 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 06/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740485655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 16809 (Massachusetts) | Primary |
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