NPI 1588947428

Procare Dental INC

Organisation Exclusive Provider Organization Hanover, MA

Practice location

Address: 51 Mill St Suite 4, Hanover, MA 02339-1641
Phone: (508) 743-7888
Fax: (888) 594-4595

Authorised official

Name: Sang Jin Lee
Title: Owner
Phone: (508) 743-7888

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 21084 (MA)

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Registry record

NPI: 1588947428
Entity type: Organization
NPI issued: 27 Sep 2011
Record last updated: 7 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.