| South Shore Dental Prosthetic | |
|
165 Washington St Quincy MA 02169-5514 | |
| (617) 471-1890 | |
| (617) 471-7310 |
| Full Name | South Shore Dental Prosthetic |
|---|---|
| Speciality | Dentist |
| Location | 165 Washington St, Quincy, Massachusetts |
| Authorized Official Name and Position | Katarina Pavlicic (PRESIDENT) |
| Authorized Official Contact | 6174711890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Dental Prosthetic 165 Washington St Quincy MA 02169-5514 Ph: (617) 471-1890 | South Shore Dental Prosthetic 165 Washington St Quincy MA 02169-5514 Ph: (617) 471-1890 |
| NPI Number | 1396035705 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 04/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396035705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21265 (Massachusetts) | Primary |
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