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Organization
WELLFLEET DENTAL GROUP
Active
Organization
WELLFLEET DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN FRANCIS TOOMEY D.M.D. (OWNER/PROSTHODONTIST)
(339) 927-4206
Entity
Organization
Contact information
Practice address
355 MAIN ST, WELLFLEET, MA 02667-7432
(339) 927-4206
Mailing address
355 MAIN ST, P.O. BOX 1433, WELLFLEET, MA 02667-7432
(339) 927-4206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN14296
MA
1223G0001X
General Practice Dentistry
DN1855424
MA
1223P0700X
Prosthodontics
Primary
DN14506
MA
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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