Organization
JANE MCNULTY
Active
Other names
AMITY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
JANE KATHERINE MCNULTY R.N., R.D.H. (DENTAL HYGIENIST)
(508) 687-9752
Entity
Organization
Contact information
Practice address
65 MAIN ST, UNIT 2, VINEYARD HAVEN, MA 02568-0935
(508) 687-9752
Mailing address
PO BOX 4477, VINEYARD HAVEN, MA 02568-0935
(508) 687-9752
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH9566
MA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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