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Individual

DR. ANDREW J MOLAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
659 FALL RIVER AVE, SEEKONK, MA 02771-5620
(508) 336-4525
(508) 336-0474
Mailing address
659 FALL RIVER AVE, SEEKONK, MA 02771-5620
(508) 336-4525
(508) 336-0474

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20926
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8878-1
BLUE CROSS BLUE SHIELD RI
RI
01
X11972
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
06/28/2006
Last updated
07/08/2007
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