Koko Dental Care Pllc | |
570 Moody St Apt 2 Waltham MA 02453-0520 | |
(978) 328-4661 | |
Not Available |
Full Name | Koko Dental Care Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 570 Moody St Apt 2, Waltham, Massachusetts |
Authorized Official Name and Position | Haroutioun Kotchinian (OWNER) |
Authorized Official Contact | 9783284661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Koko Dental Care Pllc 127 Russell St Unit 2 Waltham MA 02453-3530 Ph: (978) 328-4661 | Koko Dental Care Pllc 570 Moody St Apt 2 Waltham MA 02453-0520 Ph: (978) 328-4661 |
NPI Number | 1366152191 |
---|---|
Provider Enumeration Date | 12/02/2022 |
Last Update Date | 12/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366152191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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