Organization
RAYNHAM FAMILY DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG K BAE (PRESIDENT)
(508) 824-7211
Entity
Organization
Contact information
Practice address
302 BROADWAY UNIT 10, RAYNHAM, MA 02767-1439
(508) 824-7211
(508) 880-0045
Mailing address
302 BROADWAY UNIT 10, RAYNHAM, MA 02767-1439
(508) 824-7211
(508) 880-0045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21395
MA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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