Prime Dental Inc | |
3112 Cranberry Hwy East Wareham MA 02538-4804 | |
(508) 771-7753 | |
(508) 771-7753 |
Full Name | Prime Dental Inc |
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Speciality | Dentist - General Practice |
Location | 3112 Cranberry Hwy, East Wareham, Massachusetts |
Authorized Official Name and Position | Sang J Lee (OWNER) |
Authorized Official Contact | 5087717751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prime Dental Inc 3112 Cranberry Hwy East Wareham MA 02538-4804 Ph: (508) 771-7751 | Prime Dental Inc 3112 Cranberry Hwy East Wareham MA 02538-4804 Ph: (508) 771-7753 |
NPI Number | 1447486600 |
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Provider Enumeration Date | 06/02/2009 |
Last Update Date | 06/02/2009 |
Identifier | Type | State | Issuer |
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1447486600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 21084 (Massachusetts) | Primary |