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Organization
IDG SCITUATE DENTAL PC
Active
Organization
IDG SCITUATE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEEJU SON (MANAGER)
(857) 262-5308
Entity
Organization
Contact information
Practice address
754 COUNTRY WAY, SCITUATE, MA 02066-1825
(781) 545-4181
(781) 545-3928
Mailing address
754 COUNTRY WAY, SCITUATE, MA 02066-1825
(781) 545-4181
(781) 545-3928
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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