| Olex Dental, P.c. | |
|
306 Court St Plymouth MA 02360-4339 | |
| (508) 746-1144 | |
| (508) 746-9800 |
| Full Name | Olex Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 306 Court St, Plymouth, Massachusetts |
| Authorized Official Name and Position | Olexander Lyaskivntsky (PRESIDENT) |
| Authorized Official Contact | 5087461144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olex Dental, P.c. 306 Court St Plymouth MA 02360-4339 Ph: (508) 746-1144 | Olex Dental, P.c. 306 Court St Plymouth MA 02360-4339 Ph: (508) 746-1144 |
| NPI Number | 1225209356 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225209356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20688 (Massachusetts) | Primary |
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