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Organization
BEACON DENTAL HEALTH PC
Active
Organization
BEACON DENTAL HEALTH PC
Active
Parent organization
BEACON DENTAL HEALTH PC
Other names
West Bridgewater Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON DENTAL HEALTH PC
Authorized official
RISHI SHUKLA (AUTHORIZED ADMINISTRATOR)
(617) 418-6940
Entity
Organization
Contact information
Practice address
399 W CENTER ST, WEST BRIDGEWATER, MA 02379-1623
(617) 418-6940
Mailing address
198 TREMONT ST STE 436, BOSTON, MA 02116-4705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21699
MA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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