Organization
KIDS DENTAL CARE OF FALL RIVER, PC
Active
Other names
Michael A. Buccino, DDS, MSD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY BUCCINO DDS, MSD (CHIEF EXECUTIVE OFFICER)
(508) 947-6477
Entity
Organization
Contact information
Practice address
154 W GROVE ST, MIDDLEBORO, MA 02346-1484
(508) 947-6477
Mailing address
PO BOX 1799, NORTH FALMOUTH, MA 02556-1799
(508) 947-6477
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16809
MA
Other
Enumeration date
06/21/2007
Last updated
06/24/2011
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