South Shore Pediatric Dentistry | |
5 Federal St Weymouth MA 02188-2108 | |
(781) 340-5437 | |
(781) 340-5438 |
Full Name | South Shore Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 5 Federal St, Weymouth, Massachusetts |
Authorized Official Name and Position | Sally Sangguot Hua (OWNER) |
Authorized Official Contact | 7813405437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Shore Pediatric Dentistry 5 Federal St Weymouth MA 02188-2108 Ph: (781) 340-5437 | South Shore Pediatric Dentistry 5 Federal St Weymouth MA 02188-2108 Ph: (781) 340-5437 |
NPI Number | 1427484062 |
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Provider Enumeration Date | 09/15/2013 |
Last Update Date | 09/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427484062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DN1855205 (Massachusetts) | Primary |
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