Organization
DEREK M CORNETTA, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK M CORNETTA DDS (PRESIDENT)
(774) 254-0869
Entity
Organization
Contact information
Practice address
36 S MAIN ST, ASSONET, MA 02702-1710
(508) 644-5200
Mailing address
36 S MAIN ST, ASSONET, MA 02702-1710
(508) 644-5200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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