Organization
KEVIN P. MISCHLEY, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P. MISCHLEY D.M.D. (OWNER)
(508) 668-3970
Entity
Organization
Contact information
Practice address
1329 MAIN ST, WALPOLE, MA 02081-1707
(508) 668-3970
Mailing address
1329 MAIN ST, WALPOLE, MA 02081-1707
(508) 668-3970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19842
MA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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