| Kids Dental Care Of Middleboro, Llc | |
|
154 W Grove St Middleboro MA 02346-1484 | |
| (508) 947-6477 | |
| Not Available |
| Full Name | Kids Dental Care Of Middleboro, Llc |
|---|---|
| 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 Middleboro, Llc Po Box 1799 North Falmouth MA 02556-1799 Ph: (508) 947-6477 | Kids Dental Care Of Middleboro, Llc 154 W Grove St Middleboro MA 02346-1484 Ph: (508) 947-6477 |
| NPI Number | 1760779938 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760779938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 16809 (Massachusetts) | Primary |
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