Individual
DR. ALEX MICHAEL DOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3 SPRING ST, MARION, MA 02738-1503
(508) 748-0744
Mailing address
3 SPRING ST, P.O. BOX 949, MARION, MA 02738-1503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18855790
MA
Other
Enumeration date
07/21/2011
Last updated
09/18/2014
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