Organization
EDGARTOWN DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARI STERN (ADMIN COORDINATOR)
(917) 696-4515
Entity
Organization
Contact information
Practice address
207 UPPER MAIN ST, EDGARTOWN, MA 02539-5927
(508) 939-9000
Mailing address
PO BOX 9000, EDGARTOWN, MA 02539-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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