| Scituate Periodontics Llc | |
|
56 New Driftway Suite 201 Scituate MA 02066-4533 | |
| (781) 545-7800 | |
| (781) 545-7801 |
| Full Name | Scituate Periodontics Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 56 New Driftway, Scituate, Massachusetts |
| Authorized Official Name and Position | Mohamed Hassan (OWNER) |
| Authorized Official Contact | 7815457800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scituate Periodontics Llc 56 New Driftway Suite 201 Scituate MA 02066-4533 Ph: (781) 545-7800 | Scituate Periodontics Llc 56 New Driftway Suite 201 Scituate MA 02066-4533 Ph: (781) 545-7800 |
| NPI Number | 1922315910 |
|---|---|
| Provider Enumeration Date | 09/12/2010 |
| Last Update Date | 09/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922315910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 20988 (Massachusetts) | Primary |
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