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Organization

JACK AND JILL PEDIATRIC DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NGUYET MINH TAU DMD (DENTIST/OWNER)
(508) 864-8997
Entity
Organization

Contact information

Practice address
340 WOOD RD, SUITE 288, BRAINTREE, MA 02184-2401
(617) 913-8307
Mailing address
340 WOOD ROAD, SUITE 288, BRAINTREE, MA 02184

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21959
MA

Other

Enumeration date
05/11/2015
Last updated
05/11/2015
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