| Idg Ipswich Dental Pc | |
|
130 County Rd Ste D Ipswich MA 01938-2585 | |
| (978) 356-0602 | |
| Not Available |
| Full Name | Idg Ipswich Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 County Rd Ste D, Ipswich, Massachusetts |
| Authorized Official Name and Position | Heejeong Son (DENTIST) |
| Authorized Official Contact | 9783560602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idg Ipswich Dental Pc 130 County Rd Ste D Ipswich MA 01938-2585 Ph: (978) 356-0602 | Idg Ipswich Dental Pc 130 County Rd Ste D Ipswich MA 01938-2585 Ph: (978) 356-0602 |
| NPI Number | 1629616115 |
|---|---|
| Provider Enumeration Date | 12/15/2019 |
| Last Update Date | 12/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629616115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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