Organization
SOUTHBOROUGH DENTAL ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHANNE M GARINO (OFFICE MANAGER)
(508) 481-6100
Entity
Organization
Contact information
Practice address
11 MAIN ST., SUITE 2, SOUTHBOROUGH, MA 01772-1639
(508) 481-6100
(508) 485-8734
Mailing address
11 MAIN ST., SUITE 2, SOUTHBOROUGH, MA 01772-1639
(508) 481-6100
(508) 485-8734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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