Organization
HARBOR HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRETA ASHBY (CREDENTIALING SPECIALIST)
(617) 533-2336
Entity
Organization
Contact information
Practice address
30 ELM AVE, HYANNIS, MA 02601-5547
(508) 778-5440
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12095
MA
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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