| St Mark Dental Pc | |
|
113 Main St None Medway MA 02053-1802 | |
| (508) 533-7890 | |
| (508) 533-7890 |
| Full Name | St Mark Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 113 Main St, Medway, Massachusetts |
| Authorized Official Name and Position | Evebakhit Tadros Bakhit (PRESIDENT) |
| Authorized Official Contact | 5085337890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mark Dental Pc 113 Main St None Medway MA 02053-1802 Ph: (508) 533-7890 | St Mark Dental Pc 113 Main St None Medway MA 02053-1802 Ph: (508) 533-7890 |
| NPI Number | 1659390862 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659390862 | NPI | - | NPPES |
| 0273201 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17758 (Massachusetts) | Primary |
Cristian Petcu Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Main St, Medway, MA 02053 Phone: 508-533-8433 | |
Medway Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main St, Medway, MA 02053 Phone: 508-533-7461 Fax: 508-533-7455 | |
Cristian Petcu Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 89c Main St, Medway, MA 02053 Phone: 508-533-8433 Fax: 508-533-4682 |