Organization
COAKLEY FAMILY DENTAL, LLC
Active
Other names
William J. Coakley, III, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOHN COAKLEY III D.M.D. (OWNER)
(978) 343-3646
Entity
Organization
Contact information
Practice address
33 ELECTRIC AVE, SUITE 102, FITCHBURG, MA 01420-7954
(978) 343-3646
Mailing address
33 ELECTRIC AVE, SUITE 102, FITCHBURG, MA 01420-7954
(978) 343-3646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20549
MA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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