Steadfast Family Dental Llc | |
824 Southbridge St Ste 200 Auburn MA 01501-1332 | |
(508) 832-8826 | |
Not Available |
Full Name | Steadfast Family Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 824 Southbridge St Ste 200, Auburn, Massachusetts |
Authorized Official Name and Position | Benjamin Tubo (OWNER) |
Authorized Official Contact | 5088328826 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Steadfast Family Dental Llc 824 Southbridge St Ste 200 Auburn MA 01501-1332 Ph: (508) 832-8826 | Steadfast Family Dental Llc 824 Southbridge St Ste 200 Auburn MA 01501-1332 Ph: (508) 832-8826 |
NPI Number | 1619459500 |
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Provider Enumeration Date | 09/06/2018 |
Last Update Date | 09/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619459500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN1856659 (Massachusetts) | Primary |
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