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Organization

MASSACHUSETTS DENTAL PROFESSIONALS, P.C.

Active
Parent organization
MASSACHUSETTS DENTAL PROFESSIONALS, P.C.
Other names
East Brewster Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
MASSACHUSETTS DENTAL PROFESSIONALS, P.C.
Authorized official
HEATHER PRUEMER (CREDENTIALING TEAM LEAD)
(217) 540-8434
Entity
Organization

Contact information

Practice address
11 BAY STATE CT, BREWSTER, MA 02631-2120
(508) 255-0111
(508) 255-1160
Mailing address
11 BAY STATE CT, BREWSTER, MA 02631-2120
(508) 255-0111
(508) 255-1160

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22060
MA
1223G0001X
General Practice Dentistry
Primary
MA

Other

Enumeration date
11/23/2008
Last updated
03/30/2016
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