| Kids Dental Care Of Fall River, Pc | |
|
154 W Grove St Middleboro MA 02346-1484 | |
| (508) 947-6477 | |
| Not Available |
| Full Name | Kids Dental Care Of Fall River, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 154 W Grove St, Middleboro, Massachusetts |
| Authorized Official Name and Position | Michael Anthony Buccino (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5089476477 |
| 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 1799 North Falmouth MA 02556-1799 Ph: (508) 947-6477 | Kids Dental Care Of Fall River, Pc 154 W Grove St Middleboro MA 02346-1484 Ph: (508) 947-6477 |
| NPI Number | 1134324866 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 06/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134324866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 16809 (Massachusetts) | Primary |
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