Organization
IMMEDIATE DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH PHAM DMD (MANAGER)
(978) 875-5171
Entity
Organization
Contact information
Practice address
127 HIGH ST, CLINTON, MA 01510-2510
(978) 875-5171
(888) 599-1916
Mailing address
127 HIGH ST, CLINTON, MA 01510-2510
(978) 875-5171
(888) 599-1916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855283
MA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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