Organization
FAMILY DENTAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS COHEN D.M.D. (PRESIDENT)
(617) 436-6782
Entity
Organization
Contact information
Practice address
1444 DORCHESTER AVE, DORCHESTER, MA 02122-2922
(617) 436-7030
(617) 265-7295
Mailing address
1444 DORCHESTER AVE, DORCHESTER, MA 02122-2922
(617) 436-7030
(617) 265-7295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11878
MA
1223G0001X
General Practice Dentistry
12207
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9780203
—
MA
Enumeration date
07/10/2006
Last updated
06/24/2008
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