Organization
ALPHA DENTAL CENTER OF DARTMOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDY COSTA (ADMINISTRATOR)
(508) 728-5019
Entity
Organization
Contact information
Practice address
145 FAUNCE CORNER RD STE C, N DARTMOUTH, MA 02747-1263
(508) 993-5900
(508) 993-5912
Mailing address
145 FAUNCE CORNER RD STE C, N DARTMOUTH, MA 02747-1263
(508) 993-5900
(508) 993-5912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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