Organization
MODERN FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PATRICK BENTZ DC (PRESIDENT)
(508) 543-1866
Entity
Organization
Contact information
Practice address
17 COCASSET ST, FOXBORO, MA 02035-2948
(508) 543-1866
(508) 543-1867
Mailing address
17 COCASSET ST, FOXBORO, MA 02035-2948
(508) 543-1866
(508) 543-1867
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
55
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39626
BCBS MA GROUP ID # MFC
MA
Enumeration date
05/31/2007
Last updated
04/07/2009
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