Organization
SCITUATE PERIODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED HASSAN DMD,BDS,MS,FICD (OWNER)
(781) 545-7800
Entity
Organization
Contact information
Practice address
56 NEW DRIFTWAY, SUITE 201, SCITUATE, MA 02066-4533
(781) 545-7800
(781) 545-7801
Mailing address
56 NEW DRIFTWAY, SUITE 201, SCITUATE, MA 02066-4533
(781) 545-7800
(781) 545-7801
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20988
MA
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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