Prime Dental INC

NPI #1447486600 in East Wareham, Massachusetts

Provider Information

NPI Number: 1447486600
Entity Type: Organization
Organization Name: Prime Dental INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 2, 2009
Last Updated: Jun 2, 2009

Practice Location

Address: 3112 CRANBERRY HWY
City: East Wareham
State: Massachusetts
ZIP Code: 02538-4804
Phone: (508) 771-7753

Authorized Official

Name: DR. SANG J LEE, DMD
Title: OWNER
Phone: (508) 771-7751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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