| Springfield Family Dental Pc | |
|
339 Squire Rd Ste 150 Revere MA 02151-4396 | |
| (781) 286-7510 | |
| Not Available |
| Full Name | Springfield Family Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 339 Squire Rd Ste 150, Revere, Massachusetts |
| Authorized Official Name and Position | Raymond Joseph Ruddy (CFO) |
| Authorized Official Contact | 5085057981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Family Dental Pc 945 Concord St Framingham MA 01701-4613 Ph: () - | Springfield Family Dental Pc 339 Squire Rd Ste 150 Revere MA 02151-4396 Ph: (781) 286-7510 |
| NPI Number | 1477277507 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477277507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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