Organization
DR DENTAL OF PLYMOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC PASTAN (MANAGER)
(617) 448-8371
Entity
Organization
Contact information
Practice address
125 SAMOSET ST, PLYMOUTH, MA 02360-4801
(617) 448-8371
Mailing address
125 SAMOSET ST, PLYMOUTH, MA 02360-4801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20485
MA
Other
Enumeration date
07/19/2011
Last updated
08/15/2011
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