Polished Dntl LLC

NPI #1124672779 in Chatham, Massachusetts

Provider Information

NPI Number: 1124672779
Entity Type: Organization
Organization Name: Polished Dntl LLC
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 31, 2019
Last Updated: Jul 31, 2019

Practice Location

Address: 76 AGNES LN
City: Chatham
State: Massachusetts
ZIP Code: 02633-1502
Phone: (508) 237-5378

Authorized Official

Name: ELLEN D GOULD, RDH
Title: OWNER
Phone: (508) 237-5378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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