COREDENTAL LLC NPI 1750828752

NPI Information

COREDENTAL, LLC is a periodontics dentist in Quincy, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. COREDENTAL, LLC NPI is 1750828752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

611 ADAMS ST
QUINCY, MA
ZIP 02169-319
Phone: (617) 479-9191
Fax: (617) 481-6635

The provider's authorized official is Frederick Nafash .
The authorized official title is Sole Member and has the following contact phone number (617) 634-9393.

The enumeration date for this NPI number is 1/27/2017 and was last updated on 5/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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