Organization
GATEWAY DENTAL ASSOC OF WAREHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY PALTER DMD (VICE PRESIDENT)
(508) 245-2111
Entity
Organization
Contact information
Practice address
152 HIGH ST, WAREHAM, MA 02571
(508) 295-2111
(508) 295-5186
Mailing address
152 HIGH STREET, WAREHAM, MA 02571
(508) 295-2111
(508) 295-5186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14481
MA
1223G0001X
General Practice Dentistry
17949
MA
Other
Enumeration date
01/30/2007
Last updated
03/17/2008
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