Organization
HARBOR DENTAL ASSOCIATES P.C.
Active
Other names
Provincetown Harbor Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A RODRIGUEZ DMD (PRESIDENT)
(508) 241-6366
Entity
Organization
Contact information
Practice address
2 HARRY KEMP WAY UNIT 2, PROVINCETOWN, MA 02657-1511
(508) 241-6366
Mailing address
4 WILLOW DR APT 4, PROVINCETOWN, MA 02657-1638
(617) 283-1220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
09/13/2021
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