| Winter Street Dental Group | |
|
188 Winter St Hyannis MA 02601-2958 | |
| (508) 771-3887 | |
| (508) 778-0845 |
| Full Name | Winter Street Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 188 Winter St, Hyannis, Massachusetts |
| Authorized Official Name and Position | Ghazwan F. Ghazi (OWNER/PRESIDENT) |
| Authorized Official Contact | 5087713887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winter Street Dental Group 188 Winter St Hyannis MA 02601-2958 Ph: (508) 771-3887 | Winter Street Dental Group 188 Winter St Hyannis MA 02601-2958 Ph: (508) 771-3887 |
| NPI Number | 1104243674 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104243674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18265 (Massachusetts) | Primary |
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