Coredental, LLC

NPI #1750828752 in Quincy, Massachusetts

Provider Information

NPI Number: 1750828752
Entity Type: Organization
Organization Name: Coredental, LLC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Jan 27, 2017
Last Updated: May 4, 2017

Practice Location

Address: 611 ADAMS ST
City: Quincy
State: Massachusetts
ZIP Code: 02169-1319
Phone: (617) 479-9191

Authorized Official

Name: DR. FREDERICK NAFASH
Title: SOLE MEMBER
Phone: (617) 634-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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