Organization
ALPHA DENTAL CENTER OF TAUNTON, LLC
Active
Parent organization
ALPHA DENTAL CENTER OF TAUNTON, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA DENTAL CENTER OF TAUNTON, LLC
Authorized official
MARDY COSTA (ADMINISTRATOR)
(508) 728-5019
Entity
Organization
Contact information
Practice address
23 CEDAR ST, TAUNTON, MA 02780-3330
(508) 822-1281
Mailing address
23 CEDAR ST, TAUNTON, MA 02780-3330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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