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Organization

MASS HEALTHY SMILES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACKLYN L. VENTURA RDH (OWNER)
(508) 245-8164
Entity
Organization

Contact information

Practice address
19 GREEN LEAF RD, BRIDGEWATER, MA 02324-2154
(508) 245-8164
(508) 697-9117
Mailing address
19 GREEN LEAF RD, BRIDGEWATER, MA 02324-2154
(508) 245-8164
(508) 697-9117

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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