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Organization

ACTON FAMILY DENTAL CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YUAN YAO DMD (OWNER)
(978) 263-7067
Entity
Organization

Contact information

Practice address
249 CENTRAL ST, ACTON, MA 01720-2804
(978) 263-7067
(978) 264-9737
Mailing address
249 CENTRAL ST, ACTON, MA 01720-2804
(978) 263-7067
(978) 264-9737

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21145
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043439490
NPI TYPE 1
MA
Enumeration date
11/06/2011
Last updated
06/06/2021
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