| Mitchell Pasenkoff, Dmd | |
|
146 Main St Suite 2a Norfolk MA 02056-1322 | |
| (508) 528-5351 | |
| Not Available |
| Full Name | Mitchell Pasenkoff, Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 146 Main St, Norfolk, Massachusetts |
| Authorized Official Name and Position | Mitchell Stuart Pasenkoff (OWNER) |
| Authorized Official Contact | 5085285351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Pasenkoff, Dmd 146 Main St Suite 2a Norfolk MA 02056-1322 Ph: (508) 528-5351 | Mitchell Pasenkoff, Dmd 146 Main St Suite 2a Norfolk MA 02056-1322 Ph: (508) 528-5351 |
| NPI Number | 1669666913 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669666913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16711 (Massachusetts) | Primary |
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