Organization
SOUTH SHORE DENTAL PROSTHETIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATARINA PAVLICIC DMD (PRESIDENT)
(617) 471-1890
Entity
Organization
Contact information
Practice address
165 WASHINGTON ST, QUINCY, MA 02169-5514
(617) 471-1890
(617) 471-7310
Mailing address
165 WASHINGTON ST, QUINCY, MA 02169-5514
(617) 471-1890
(617) 471-7310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21265
MA
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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