South Shore Dental Prosthetics Assoc. Inc | |
165 Washington St Quincy MA 02169-5514 | |
(617) 471-1890 | |
(617) 471-7310 |
Full Name | South Shore Dental Prosthetics Assoc. Inc |
---|---|
Speciality | Dentist |
Location | 165 Washington St, Quincy, Massachusetts |
Authorized Official Name and Position | Vincent Karl Trossello (PRESIDENT) |
Authorized Official Contact | 6174711890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Shore Dental Prosthetics Assoc. Inc 165 Washington St Quincy MA 02169-5514 Ph: (617) 471-1890 | South Shore Dental Prosthetics Assoc. Inc 165 Washington St Quincy MA 02169-5514 Ph: (617) 471-1890 |
NPI Number | 1184862500 |
---|---|
Provider Enumeration Date | 01/22/2009 |
Last Update Date | 01/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184862500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12314 (Massachusetts) | Primary |
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