Organization
AFFILIATED FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DICICCO (MANAGER)
(508) 872-8806
Entity
Organization
Contact information
Practice address
116 COCHITUATE RD, FRAMINGHAM, MA 01701-7978
(508) 872-8896
(508) 872-8810
Mailing address
116 COCHITUATE RD, FRAMINGHAM, MA 01701-7978
(508) 872-8896
(508) 872-8810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10578
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X10843
BLUE CROSS IDENTIFIER
MA
Enumeration date
12/21/2006
Last updated
08/29/2007
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