Bourne Dental Associates, LLC

NPI #1669777256 in Bourne, Massachusetts

Provider Information

NPI Number: 1669777256
Entity Type: Organization
Organization Name: Bourne Dental Associates, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 13, 2011
Last Updated: Jan 13, 2011

Practice Location

Address: 1 TECHNOLOGY PARK DR
Address 2: SUITE 1C
City: Bourne
State: Massachusetts
ZIP Code: 02532-8336
Phone: (508) 759-2724

Authorized Official

Name: DR. SURAIYA M SHAIKH, DMD
Title: PRESIDENT
Phone: (508) 759-2724

Specialties & Taxonomy Codes

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

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