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Organization

MICHEL A JUSSEAUME PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHEL A JUSSEAUME DMD (OWNER)
(508) 636-5111
Entity
Organization

Contact information

Practice address
1021 MAIN RD, WESTPORT, MA 02790-4412
(508) 636-5111
(508) 636-2318
Mailing address
1021 MAIN RD, WESTPORT, MA 02790-4412
(508) 636-5111
(508) 636-2318

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0216631
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9794204
MA
Enumeration date
04/02/2008
Last updated
04/02/2008
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