Raynham Family Dental, Inc.

NPI #1710117593 in Raynham, Massachusetts

Provider Information

NPI Number: 1710117593
Entity Type: Organization
Organization Name: Raynham Family Dental, Inc.
Primary Specialty: Dentist
Enumeration Date: Jul 15, 2009
Last Updated: Jul 15, 2009

Practice Location

Address: 302 BROADWAY UNIT 10
City: Raynham
State: Massachusetts
ZIP Code: 02767-1439
Phone: (508) 824-7211

Authorized Official

Name: SANG K BAE
Title: PRESIDENT
Phone: (508) 824-7211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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