Organization
BOURNE BRIDGE DENTAL. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVIA KOO DMD (OWNER)
(858) 342-9306
Entity
Organization
Contact information
Practice address
9 COUNTY RD, BOURNE, MA 02532-3756
(508) 759-8331
Mailing address
9 COUNTY RD, BOURNE, MA 02532-3756
(508) 759-8331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22212
MA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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