Organization
BOURNE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURAIYA M SHAIKH DMD (PRESIDENT)
(508) 759-2724
Entity
Organization
Contact information
Practice address
1 TECHNOLOGY PARK DR, SUITE 1C, BOURNE, MA 02532-8336
(508) 759-2724
Mailing address
1 TECHNOLOGY PARK DR, SUITE 1C, BOURNE, MA 02532-8336
(508) 759-2724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20133
MA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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