| Modestow Family Dentistry Pc | |
|
190 Nonotuck Street Suite 101 Florence MA 01062-1934 | |
| (413) 586-5887 | |
| Not Available |
| Full Name | Modestow Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 190 Nonotuck Street, Florence, Massachusetts |
| Authorized Official Name and Position | Michelle Kersbergen (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 4135865887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modestow Family Dentistry Pc 190 Nonotuck Street Suite 101 Florence MA 01062-1934 Ph: (413) 586-5887 | Modestow Family Dentistry Pc 190 Nonotuck Street Suite 101 Florence MA 01062-1934 Ph: (413) 586-5887 |
| NPI Number | 1053842245 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053842245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20017 (Massachusetts) | Primary |
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