Southeastern Dental Care, Pc
General Practice Dentistry in Lakeville, MA(View on Map)
Legal Business Name
Southeastern Dental Care, Pc
NPI Number
1588928147
NPI Type
Organization
Enumeration Date
06/28/2012
Specialties
(Taxonomies)Licenses
State
Massachusetts
License Number
21958
Contact
Information
Purpose
Mailing
Location
Address
336 BEDFORD ST
336 BEDFORD ST
City
Lakeville
Lakeville
State
MA
MA
Postal Code
02347-2136
02347-2136
Country
US
US
Telephone Number
(508) 947-5717
(508) 947-5717
Authorized Official
Name
Dr. Minh-phuong Bui
Title or Position
PRESIDENT
Telephone Number
(508) 947-5717
Identifiers
Identifier
110068471A
Identifier State
MA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/28/2012
Provider Address
Other General Practice Dentists in Lakeville, Massachusetts:
Commonwealth Mobile Oral Health Services, Llc
Lakeville, MASpecialty: General Practice Dentistry (Primary)