Organization
COSMETIC & FAMILY DENTISTRY ASSOC., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY LYNN MURPHY DMD (DENTIST)
(508) 564-6663
Entity
Organization
Contact information
Practice address
580 MACARTHUR BLVD, POCASSET, MA 02559
(508) 564-6663
(508) 564-6610
Mailing address
580 MACARTHUR BLVD, BUZZARDS BAY, MA 02532
(508) 564-6663
(508) 564-6610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19530
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12074
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/22/2008
Last updated
10/14/2013
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