Organization
TRAVELLING DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE MOODY RDH (MEMBER)
(774) 377-9449
Entity
Organization
Contact information
Practice address
121 COUNTY ST, LAKEVILLE, MA 02347-1811
(774) 377-9449
Mailing address
121 COUNTY ST, LAKEVILLE, MA 02347-1811
(774) 377-9449
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
DH10503
MA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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