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Organization
SOUTHERN MASSACHUSETTS DENTAL, P.C.
Active
Organization
SOUTHERN MASSACHUSETTS DENTAL, P.C.
Active
Other names
Lakeville Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH PHUONG BUI DMD (OWNER)
(774) 213-9178
Entity
Organization
Contact information
Practice address
54 MAIN ST, SUITE 6, LAKEVILLE, MA 02347-3621
(508) 923-6900
Mailing address
54 MAIN ST, SUITE 6, LAKEVILLE, MA 02347-3621
(508) 923-6900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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