Individual
DR. NADINE S MENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
111 WILLARD ST, QUINCY, MA 02169-1200
(617) 471-8640
(617) 471-9328
Mailing address
111 WILLARD ST, QUINCY, MA 02169-1200
(617) 471-8640
(617) 471-9328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1131
DELTA DENTAL
MA
01
—
X06070
BLUECROSS-BLUESHIELD
MA
Enumeration date
03/24/2007
Last updated
07/08/2007
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