Organization
LOCUST WHITE INC
Active
Other names
The Kids' Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK F ASSIOUN (CEO)
(508) 473-5437
Entity
Organization
Contact information
Practice address
182 MAIN ST, MILFORD, MA 01757
(508) 473-5437
Mailing address
182 MAIN ST, MILFORD, MA 01757
(508) 473-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21980
MA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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