Organization
CAPE COD PEDIATRIC DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY L FUGATE D.M.D. (PEDIATRIC DENTIST)
(401) 378-3720
Entity
Organization
Contact information
Practice address
89 LEWIS BAY RD, SUITE 1, HYANNIS, MA 02601-5240
(508) 737-0816
Mailing address
89 LEWIS BAY RD, SUITE 1, HYANNIS, MA 02601-5240
(508) 737-0816
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1855409
MA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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