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Organization
PINE DENTAL PC
Active
Organization
PINE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONG WON KIM DMD (OWNER)
(617) 888-3400
Entity
Organization
Contact information
Practice address
394 WATER ST, FITCHBURG, MA 01420-5602
(617) 888-3400
Mailing address
394 WATER ST, FITCHBURG, MA 01420-5602
(617) 888-3400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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