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Organization
GEORGE FAMILY ORTHODONTICS
Active
Organization
GEORGE FAMILY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI TINKHAM (BUSINESS ADMINISRATOR)
(508) 761-3176
Entity
Organization
Contact information
Practice address
95 STATE ROAD, VINEYARD HAVEN, MA 02568
(508) 693-3766
Mailing address
95 STATE ROAD, VINEYARD HAVEN, MA 02568
(508) 693-3766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16514
MA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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