Derek M Cornetta, DDS, PC
Clinic/Center, Dental in Assonet, MA. Organization (NPI-2).
NPI number1750852182
StatusActive
Last updated in NPPESDec 11, 2018
Details
- NPI
- 1750852182
- Entity type
- Organization (NPI-2)
- Legal business name
- Derek M Cornetta, DDS, PC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2018
- Last updated
- Dec 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
36 S Main StAssonet, MA 02702-1710
Phone 508-644-5200
Mailing address
36 S Main StAssonet, MA 02702-1710
Phone 508-644-5200
Authorized official
Derek M Cornetta
President
7742540869
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