South Shore Dental Prosthetic

NPI #1396035705 in Quincy, Massachusetts

Provider Information

NPI Number: 1396035705
Entity Type: Organization
Organization Name: South Shore Dental Prosthetic
Primary Specialty: Dentist
Enumeration Date: Apr 19, 2011
Last Updated: Apr 19, 2011

Practice Location

Address: 165 WASHINGTON ST
City: Quincy
State: Massachusetts
ZIP Code: 02169-5514
Phone: (617) 471-1890

Authorized Official

Name: DR. KATARINA PAVLICIC, DMD
Title: PRESIDENT
Phone: (617) 471-1890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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