Organization
CAPE COD RESTORATIVE DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA SHEMANYUK DMD (GENERAL DENTIST)
(617) 325-0660
Entity
Organization
Contact information
Practice address
923 MAIN ST UNIT H, YARMOUTH PORT, MA 02675-2159
(617) 325-0660
Mailing address
151 COOLIDGE AVE APT 410, WATERTOWN, MA 02472-2866
(617) 325-0660
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856256
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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