Organization
KYLE PROHOVICH DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE PROHOVICH DMD (DR.)
(617) 335-2650
Entity
Organization
Contact information
Practice address
44 CENTER ST, NORTH EASTON, MA 02356
(617) 335-2650
Mailing address
44 CENTER ST, NORTH EASTON, MA 02356-1853
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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