Organization
PRIME DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG J LEE DMD (OWNER)
(508) 771-7751
Entity
Organization
Contact information
Practice address
3112 CRANBERRY HWY, EAST WAREHAM, MA 02538-4804
(508) 771-7753
(508) 771-7753
Mailing address
3112 CRANBERRY HWY, EAST WAREHAM, MA 02538-4804
(508) 771-7751
(508) 771-7753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21084
MA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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