| Centralmassdentalgroup Pc | |
|
49 Cross St Gardner MA 01440-2213 | |
| (978) 632-5659 | |
| Not Available |
| Full Name | Centralmassdentalgroup Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 49 Cross St, Gardner, Massachusetts |
| Authorized Official Name and Position | Dong Won Kim (OWNER) |
| Authorized Official Contact | 9786325659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centralmassdentalgroup Pc 49 Cross St Gardner MA 01440-2213 Ph: (978) 632-6569 | Centralmassdentalgroup Pc 49 Cross St Gardner MA 01440-2213 Ph: (978) 632-5659 |
| NPI Number | 1558964957 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558964957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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