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Organization
CAPE COD RESTORATIVE DENTISTRY, INC
Active
Organization
CAPE COD RESTORATIVE DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA SHEMANYUK DMD (GENERAL DENTIST)
(617) 325-0660
Entity
Organization
Contact information
Practice address
923 MAIN ST UNIT H, YARMOUTH PORT, MA 02675-2159
(617) 325-0660
Mailing address
151 COOLIDGE AVE APT 410, WATERTOWN, MA 02472-2866
(617) 325-0660
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856256
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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