Chatham Dental Health, LLC

NPI #1912141003 in Chatham, Massachusetts

Provider Information

NPI Number: 1912141003
Entity Type: Organization
Organization Name: Chatham Dental Health, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 720 MAIN ST
City: Chatham
State: Massachusetts
ZIP Code: 02633-1825
Phone: (508) 945-0207

Authorized Official

Name: DR. AMELIA GRABE LANE, DMD
Title: SOLE MEMBER
Phone: (508) 945-0207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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