Organization
POCASSET FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDY COSTA (ADMINISTRATOR)
(508) 728-5019
Entity
Organization
Contact information
Practice address
676 MACARTHUR BLVD, POCASSET, MA 02559-2230
(508) 563-2722
(508) 563-6020
Mailing address
676 MACARTHUR BLVD, POCASSET, MA 02559-2230
(508) 563-2722
(508) 563-6020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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