Organization
POLISHED,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE M OSBORN RDH (MANAGER)
(617) 571-1697
Entity
Organization
Contact information
Practice address
103 LAKE SHORE DR, BREWSTER, MA 02631-2429
(617) 571-1697
Mailing address
PO BOX 990284, BOSTON, MA 02199-0284
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086830A
—
MA
Enumeration date
07/23/2010
Last updated
07/17/2012
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