Kenneth T. Nolan DDS

NPI 1083697239 - Dentist - 122300000X

NPI Details
NPI 1083697239
Gender Male
Enumeration Date 11/22/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
11 MAIN ST
SUITE 2
SOUTHBOROUGH MA, 01772-1661, US
Phone (508) 481-6100
Fax (508) 485-8734
Business Location
5 CATCHING COVE RD
NORTHPORT ME, 04849-3053, US
Phone (508) 481-6100
Fax (508) 485-8734
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number 11137
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According to our database, Dr. Kenneth T. Nolan DDS NPI is 1083697239, taxonomy code is 122300000X and license number is 11137, license state is located at Massachusetts. Kenneth T. Nolan DDS physically located at 11 Main St, Southborough MA, 01772-1661. NPI Number Kenneth T. Nolan DDS has the Individual type.

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1083697239 NPI number is provided on an as is basis without warranty of any kind. 1083697239 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth T. Nolan DDS are for informational purposes only.