Organization
MOBILE DENTAL HYGIENE SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA VIOLA SIMISON RDH, MS (PUBLIC HEALTH DENTAL HYGIENIST)
(443) 907-7309
Entity
Organization
Contact information
Practice address
14 JAN SEBASTIAN DR STE C, SANDWICH, MA 02563-2384
(508) 827-6725
Mailing address
PO BOX 435, FORESTDALE, MA 02644-0435
(508) 827-6725
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
DH88043
MA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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