Organization
GENERAL DENTISTRY OF CAPE COD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE C ELSTON (PRACTICE ADMINISTRATOR)
(508) 790-8300
Entity
Organization
Contact information
Practice address
100 INDEPENDENCE DR, HYANNIS, MA 02601-1898
(508) 790-8300
(508) 790-9428
Mailing address
100 INDEPENDENCE DR, HYANNIS, MA 02601-1898
(508) 790-8300
(508) 790-9428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20412
MA
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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