Commonwealth Mobile Oral Health Services, LLC
NPI #1215081625 in Lakeville, Massachusetts
Provider Information
- NPI Number
- 1215081625
- Entity Type
- Organization
- Organization Name
- Commonwealth Mobile Oral Health Services, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Jul 19, 2012
Practice Location
- Address
- 12 COLLEEN DR
- City
- Lakeville
- State
- Massachusetts
- ZIP Code
- 02347-1663
- Phone
- (508) 947-0111
Authorized Official
- Name
- DR. MARK J DOHERTY, DMD,MPH,CCHP
- Title
- DIRECTOR
- Phone
- (508) 947-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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