Cummins Family Dental Pc

NPI 1194090415 - Dentist - 1223G0001X

NPI Details
NPI 1194090415
Enumeration Date 03/20/2012
Last Updated 03/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHELLE MICHELLE
Position D.M.D.
Phone (617) 445-9880
Fax (617) 445-5746
Practice Location
166 COLUMBIA RD
BOSTON MA, 02121-3411, US
Phone (617) 445-9880
Fax (617) 445-5746
Business Location
166 COLUMBIA RD
BOSTON MA, 02121-3411, US
Phone (617) 445-9880
Fax (617) 445-5746
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 22207
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According to our database, Cummins Family Dental Pc NPI is 1194090415, taxonomy code is 1223G0001X and license number is 22207, license state is located at Massachusetts. Cummins Family Dental Pc physically located at 166 Columbia Rd, Boston MA, 02121-3411. NPI Number 1033115704 has the healthcare provider type.

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1194090415 NPI number is provided on an as is basis without warranty of any kind. 1194090415 is maintained by the National Plan & Provider Enumeration System. The contents of Cummins Family Dental Pc are for informational purposes only.