| Raynham Family Dental, Inc. | |
|
302 Broadway Unit 10 Raynham MA 02767-1439 | |
| (508) 824-7211 | |
| (508) 880-0045 |
| Full Name | Raynham Family Dental, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 302 Broadway Unit 10, Raynham, Massachusetts |
| Authorized Official Name and Position | Sang K Bae (PRESIDENT) |
| Authorized Official Contact | 5088247211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raynham Family Dental, Inc. 302 Broadway Unit 10 Raynham MA 02767-1439 Ph: (508) 824-7211 | Raynham Family Dental, Inc. 302 Broadway Unit 10 Raynham MA 02767-1439 Ph: (508) 824-7211 |
| NPI Number | 1710117593 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710117593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21395 (Massachusetts) | Primary |
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