| Elite Dental Group Pc | |
|
523 Foundry St North Easton MA 02356-2736 | |
| (508) 238-4265 | |
| (508) 230-2451 |
| Full Name | Elite Dental Group Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 523 Foundry St, North Easton, Massachusetts |
| Authorized Official Name and Position | Sathish L Gobichettypalayam (PRESIDENT) |
| Authorized Official Contact | 6179804734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Group Pc 523 Foundry St North Easton MA 02356-2736 Ph: (508) 238-4265 | Elite Dental Group Pc 523 Foundry St North Easton MA 02356-2736 Ph: (508) 238-4265 |
| NPI Number | 1043645336 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043645336 | NPI | - | NPPES |
| 22099 | Other | MA | MA DENTAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22099 (Massachusetts) | Primary |
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