Organization
SEABREEZE DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDY COSTA (ADMINISTRATOR)
(508) 728-5019
Entity
Organization
Contact information
Practice address
28 FAIRHAVEN RD, MATTAPOISETT, MA 02739-1479
(508) 758-4818
(508) 758-1369
Mailing address
PO BOX 1734, MATTAPOISETT, MA 02739-0445
(508) 758-4818
(508) 758-1369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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