Organization
ALPHA DENTAL CENTER OF TAUNTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDY COSTA (ADMINISTRATOR)
(508) 822-2582
Entity
Organization
Contact information
Practice address
247 BROADWAY, TAUNTON, MA 02780-1508
(508) 822-2582
(508) 880-9434
Mailing address
247 BROADWAY, TAUNTON, MA 02780-1508
(508) 822-2582
(508) 880-9434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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