Organization
NAUSET BEACH DENTAL INC
Active
Organization
NAUSET BEACH DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN J CHUNG DMD (PRESIDENT)
(508) 255-1401
Entity
Organization
Contact information
Practice address
16 BEACH RD., E. ORLEANS, MA 02643-0637
(508) 255-1401
Mailing address
16 BEACH RD, E ORLEANS, MA 02643-0637
(508) 255-1401
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
18834
MA
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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