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Organization

COREDENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK NAFASH (SOLE MEMBER)
(617) 634-9393
Entity
Organization

Contact information

Practice address
611 ADAMS ST, QUINCY, MA 02169-1319
(617) 479-9191
(617) 481-6635
Mailing address
611 ADAMS ST, QUINCY, MA 02169-1319
(617) 651-5255
(617) 481-6635

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN1856376
MA

Other

Enumeration date
01/27/2017
Last updated
05/04/2017
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