Organization
ALPHA DENTAL CENTER OF DARTMOUTH, LLC
Active
Parent organization
ALPHA DENTAL CENTER OF DARTMOUTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA DENTAL CENTER OF DARTMOUTH, LLC
Authorized official
MARDY COSTA (ADMINISTRATOR)
(508) 728-5019
Entity
Organization
Contact information
Practice address
643 DARTMOUTH ST, SOUTH DARTMOUTH, MA 02748-2511
(508) 994-5278
Mailing address
643 DARTMOUTH ST, SOUTH DARTMOUTH, MA 02748-2511
(508) 994-5278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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