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Organization

SUBURBAN ENDODONTIC ASSOC. D.B.A. ABINGTON FAMILY DENTAL CARE INC.

Active
Other names
Abington Family Dental Care inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETTE LYNDE (OFFICE MANAGER)
(781) 878-2190
Entity
Organization

Contact information

Practice address
469 WASHINGTON ST, ABINGTON, MA 02351-2417
(781) 878-2190
(781) 878-3011
Mailing address
PO BOX 2049, 469 WASHINGTON ST., ABINGTON, MA 02351-0549
(781) 878-2190
(781) 878-3011

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14400
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14400
MASS LICENSE #
MA
Enumeration date
04/30/2008
Last updated
04/30/2008
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