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My Dental Southbridge Pllc
Dental Clinic/Center in Southbridge, Massachusetts
NPI 1316722069

My Dental Southbridge Pllc is a Dental Clinic/Center based in Canton, MA and is specialized in Dental. My Dental Southbridge Pllc practices in Southbridge, MA. The NPI Number for My Dental Southbridge Pllc is 1316722069 and holds a License No. (Massachusetts).

The current practice location address for My Dental Southbridge Pllc is 305 Main St, Southbridge, MA and can be reached out via phone at 508-765-0880.

Location: 305 Main St, Southbridge, MA, 02021-4230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316722069
Provider Name
My Dental Southbridge Pllc
Credential
Provider Entity Type
Organization
Address
305 Main St, Southbridge, MA, 02021-4230
Phone Number
508-765-0880
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
305 Main St
City
Southbridge
State
Massachusetts
Zip
01550-3726
Phone Number
508-765-0880
Fax Number
person
Provider Business Mailing Address Details
Address
305 Main St
City
Southbridge
State
Massachusetts
Zip
01550-3726
Phone Number
508-765-0880
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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