Hancock Dental PC
Dentist, General Practice in Wollaston, MA. Organization (NPI-2).
NPI number1205023975
StatusActive
Last updated in NPPESSep 26, 2007
Details
- NPI
- 1205023975
- Entity type
- Organization (NPI-2)
- Legal business name
- Hancock Dental PC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2007
- Last updated
- Sep 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 20920 | MA | Yes |
Practice location
522 Hancock StWollaston, MA 02170-1921
Phone 617-773-6605 · Fax 617-773-6606
Mailing address
522 Hancock StWollaston, MA 02170-1921
Phone 617-773-6605 · Fax 617-773-6606
Authorized official
Shahrzad Haghayegh-Askarian
President
6177736605
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