| Centralmassdentalgroup Pc | |
|
38 Exchange St Athol MA 01331-1812 | |
| (978) 249-8545 | |
| Not Available |
| Full Name | Centralmassdentalgroup Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 38 Exchange St, Athol, Massachusetts |
| Authorized Official Name and Position | Dong Won Kim (OWNER) |
| Authorized Official Contact | 6178883400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centralmassdentalgroup Pc 38 Exchange St Athol MA 01331-1812 Ph: (978) 249-8545 | Centralmassdentalgroup Pc 38 Exchange St Athol MA 01331-1812 Ph: (978) 249-8545 |
| NPI Number | 1972106433 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972106433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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