First Choice Dental Group

NPI 1730421389 - Dentist - 122300000X

NPI Details
NPI 1730421389
Enumeration Date 03/21/2013
Last Updated 03/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SAMUEL SOONHO SAMUEL
Position OWNER
Phone (781) 273-2233
Fax
Practice Location
11 CAMRIDGE STREET
BURLINGTON MA, 01803, US
Phone (781) 273-2233
Fax
Business Location
11 CAMBRIDGE ST
BURLINGTON MA, 01803-4625, US
Phone (781) 273-2233
Fax
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number DN1855469
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According to our database, First Choice Dental Group NPI is 1730421389, taxonomy code is 122300000X and license number is DN1855469, license state is located at Massachusetts. First Choice Dental Group physically located at 11 Camridge Street, Burlington MA, 01803. NPI Number 1033115704 has the healthcare provider type.

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1730421389 NPI number is provided on an as is basis without warranty of any kind. 1730421389 is maintained by the National Plan & Provider Enumeration System. The contents of First Choice Dental Group are for informational purposes only.