Marion Village Dental
NPI #1093128225 in Lakeville, Massachusetts
Provider Information
- NPI Number
- 1093128225
- Entity Type
- Organization
- Organization Name
- Marion Village Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 5, 2014
- Last Updated
- Jun 5, 2014
Practice Location
- Address
- 54 MAIN STREET
- Address 2
- SUITE 6 C/O LAKEVILLE DENTAL
- City
- Lakeville
- State
- Massachusetts
- ZIP Code
- 02347
- Phone
- (508) 923-6900
Authorized Official
- Name
- DR. CHUONG PHAM, DMD
- Title
- PRESIDENT/DENTIST PROVIDER
- Phone
- (508) 748-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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