Osterville Family Dental

NPI 1265824023 - Dentist - 1223G0001X

NPI Details
NPI 1265824023
Enumeration Date 03/03/2015
Last Updated 03/03/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name TALIDA M TALIDA
Position OWNER
Phone (508) 428-2443
Fax (508) 591-8560
Practice Location
21 POND ST
UNIT 4
OSTERVILLE MA, 02655-1508, US
Phone (508) 428-2443
Fax (508) 591-8560
Business Location
21 POND ST
UNIT 4
OSTERVILLE MA, 02655-1508, US
Phone (508) 428-2443
Fax (508) 591-8560
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 1855441
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According to our database, Osterville Family Dental NPI is 1265824023, taxonomy code is 1223G0001X and license number is 1855441, license state is located at Massachusetts. Osterville Family Dental physically located at 21 Pond St, Osterville MA, 02655-1508. NPI Number 1033115704 has the healthcare provider type.

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1265824023 NPI number is provided on an as is basis without warranty of any kind. 1265824023 is maintained by the National Plan & Provider Enumeration System. The contents of Osterville Family Dental are for informational purposes only.