| Coredental, Llc | |
|
611 Adams St Quincy MA 02169-1319 | |
| (617) 479-9191 | |
| (617) 481-6635 |
| Full Name | Coredental, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 611 Adams St, Quincy, Massachusetts |
| Authorized Official Name and Position | Frederick Nafash (SOLE MEMBER) |
| Authorized Official Contact | 6176349393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coredental, Llc 611 Adams St Quincy MA 02169-1319 Ph: (617) 651-5255 | Coredental, Llc 611 Adams St Quincy MA 02169-1319 Ph: (617) 479-9191 |
| NPI Number | 1750828752 |
|---|---|
| Provider Enumeration Date | 01/27/2017 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750828752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN1856376 (Massachusetts) | Primary |
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