Organization
SOUTHERN MASSACHUSETTS DENTAL, P.C.
Active
Other names
Lakeville Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH PHUONG BUI DMD (OWNER)
(774) 213-9178
Entity
Organization
Contact information
Practice address
54 MAIN ST, SUITE 6, LAKEVILLE, MA 02347-3621
(508) 923-6900
Mailing address
54 MAIN ST, SUITE 6, LAKEVILLE, MA 02347-3621
(508) 923-6900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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