Organization
DENTISTRY ON PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM DOURAGHY DMD (OWNER/DENTIST)
(781) 341-8966
Entity
Organization
Contact information
Practice address
19 PARK ST, STOUGHTON, MA 02072-2913
(781) 341-8966
Mailing address
19 PARK ST, STOUGHTON, MA 02072-2913
(781) 341-8966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18108
MA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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