Organization
FIRST COMMONWEALTH DENTAL LLC
Active
Parent organization
FIRST COMMONWEALTH DENTAL LLC
Other names
Southbridge Dentistry & Implants
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST COMMONWEALTH DENTAL LLC
Authorized official
DR. RAM YADAV DMD (PRESIDENT)
(573) 639-0497
Entity
Organization
Contact information
Practice address
11 CENTRAL ST, SOUTHBRIDGE, MA 01550-3707
(508) 909-6122
Mailing address
11 CENTRAL ST, SOUTHBRIDGE, MA 01550-3707
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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