Organization
KIDS DENTAL CARE OF MIDDLEBORO, LLC
Active
Parent organization
KIDS DENTAL CARE OF FALL RIVER, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDS DENTAL CARE OF FALL RIVER, PC
Authorized official
DR. MICHAEL ANTHONY BUCCINO D.D.S., M.S.D. (CHIEF EXECUTIVE OFFICER)
(508) 947-6477
Entity
Organization
Contact information
Practice address
154 W GROVE ST, MIDDLEBORO, MA 02346-1484
(508) 947-6477
Mailing address
PO BOX 1799, NORTH FALMOUTH, MA 02556-1799
(508) 947-6477
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16809
MA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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