| Kyle Prohovich Dmd Llc | |
| 
					44 Center St North Easton MA 02356  | |
| (617) 335-2650 | |
| Not Available | 
| Full Name | Kyle Prohovich Dmd Llc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 44 Center St, North Easton, Massachusetts | 
| Authorized Official Name and Position | Kyle Prohovich (DR.) | 
| Authorized Official Contact | 6173352650 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kyle Prohovich Dmd Llc 44 Center St North Easton MA 02356-1853 Ph: () -  | Kyle Prohovich Dmd Llc 44 Center St North Easton MA 02356 Ph: (617) 335-2650  | 
| NPI Number | 1356824858 | 
|---|---|
| Provider Enumeration Date | 09/11/2018 | 
| Last Update Date | 09/11/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356824858 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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