Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 80-86 Main St, Taunton, Massachusetts |
Authorized Official Name and Position | James Park (OWNER) |
Authorized Official Contact | 9789453841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
80-86 Main St Taunton MA 02780 Ph: (508) 821-9041 | 80-86 Main St Taunton MA 02780 Ph: (508) 821-9041 |
NPI Number | 1235869157 |
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Provider Enumeration Date | 06/14/2022 |
Last Update Date | 02/07/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235869157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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