Coppe Pediatric Dentistry

NPI 1154758084 - Clinic/Center - 261QD0000X

NPI Details
NPI 1154758084
Enumeration Date 10/10/2013
Last Updated 01/14/2016
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CAROLYN CAROLYN
Position ACCOUNT MANAGER
Phone (781) 861-6120
Fax
Practice Location
19 MUZZEY ST
SUITE 6
LEXINGTON MA, 02421-5256, US
Phone (781) 861-6120
Fax
Business Location
19 MUZZEY STREET
SUITE 6
LEXINGTON MA, 02421, US
Phone (781) 861-6120
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Massachusetts
License Number 11347
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According to our database, Coppe Pediatric Dentistry NPI is 1154758084, taxonomy code is 261QD0000X and license number is 11347, license state is located at Massachusetts. Coppe Pediatric Dentistry physically located at 19 Muzzey St, Lexington MA, 02421-5256. NPI Number 1033115704 has the healthcare provider type.

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1154758084 NPI number is provided on an as is basis without warranty of any kind. 1154758084 is maintained by the National Plan & Provider Enumeration System. The contents of Coppe Pediatric Dentistry are for informational purposes only.