Clean and Seal Dental Program
NPI #1821601170 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1821601170
- Entity Type
- Organization
- Organization Name
- Clean and Seal Dental Program
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Aug 26, 2020
- Last Updated
- Aug 26, 2020
Practice Location
- Address
- 172 ASHMONT ST
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02124-3745
- Phone
- (774) 321-4720
Authorized Official
- Name
- FAITH BROOKS, RDH, BSDH, M.ED
- Title
- PUBLIC HEALTH DENTAL HYGIENIST
- Phone
- (774) 321-4720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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