Organization
MENDON FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE TAVANO (CHIEF OPERATING OFFICER)
(978) 580-1524
Entity
Organization
Contact information
Practice address
14 HASTINGS STREET, MENDON, MA 01756
(508) 478-8683
Mailing address
5 MOUNT ROYAL AVE, SUITE 300, MARLBOROUGH, MA 01752
(508) 460-0632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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