| Pine Dental Pc | |
|
394 Water St Fitchburg MA 01420-5602 | |
| (617) 888-3400 | |
| Not Available |
| Full Name | Pine Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 394 Water St, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Dong Won Kim (OWNER) |
| Authorized Official Contact | 6178883400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Dental Pc 394 Water St Fitchburg MA 01420-5602 Ph: (617) 888-3400 | Pine Dental Pc 394 Water St Fitchburg MA 01420-5602 Ph: (617) 888-3400 |
| NPI Number | 1245081736 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245081736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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