Dartmouth Periodontics & Implant Dentistry,pc
Dentist, Periodontics in North Dartmouth, MA. Organization (NPI-2).
NPI number1780008383
StatusActive
Last updated in NPPESFeb 18, 2014
Details
- NPI
- 1780008383
- Entity type
- Organization (NPI-2)
- Legal business name
- Dartmouth Periodontics & Implant Dentistry,pc
- Organization subpart
- No
- Enumeration date
- Feb 18, 2014
- Last updated
- Feb 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | DL22306 | MA | Yes |
Practice location
41 State RdNorth Dartmouth, MA 02747-3319
Phone 508-993-9105 · Fax 508-993-9115
Mailing address
41 State RdNorth Dartmouth, MA 02747-3319
Phone 508-993-9105 · Fax 508-993-9115
Authorized official
Soowoo Kim
President
5089939105
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