Organization
HANOVER DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHMI VASUDEVA DMD (GENERAL DENTIST)
(781) 826-2961
Entity
Organization
Contact information
Practice address
225 HANOVER ST, HANOVER, MA 02339-2208
(781) 826-2961
(781) 826-8346
Mailing address
225 HANOVER ST, HANOVER, MA 02339-2208
(781) 826-2961
(781) 826-8346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20941
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203670
MASS HEALTH
MA
Enumeration date
06/07/2007
Last updated
01/16/2014
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