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Organization
WOODS HOLE DENTAL CARE PC
Active
Organization
WOODS HOLE DENTAL CARE PC
Active
Other names
Bruce R. Leger
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE RICHARD LEGER DMD (OWNER)
(508) 548-6655
Entity
Organization
Contact information
Practice address
91 A WATER STREET, WOODS HOLE, MA 02543-0125
(508) 548-6655
(508) 548-1549
Mailing address
91 A WATER STREET, P.O. BOX 125, WOODS HOLE, MA 02543-0125
(508) 548-6655
(508) 548-1549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218545
MASS HEALTH
MA
01
—
9793836
MASS HEALTH
MA
01
—
9902996
MASS HEALTH
MA
01
—
9903044
MASS HEALTH
MA
Enumeration date
03/17/2008
Last updated
03/17/2008
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