| Southborough Dental Associates Llp | |
| 
					11 Main St. Suite 2 Southborough MA 01772-1639  | |
| (508) 481-6100 | |
| (508) 485-8734 | 
| Full Name | Southborough Dental Associates Llp | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 11 Main St., Southborough, Massachusetts | 
| Authorized Official Name and Position | Johanne M Garino (OFFICE MANAGER) | 
| Authorized Official Contact | 5084816100 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southborough Dental Associates Llp 11 Main St. Suite 2 Southborough MA 01772-1639 Ph: (508) 481-6100  | Southborough Dental Associates Llp 11 Main St. Suite 2 Southborough MA 01772-1639 Ph: (508) 481-6100  | 
| NPI Number | 1518052620 | 
|---|---|
| Provider Enumeration Date | 10/04/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518052620 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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