| Organization Name: | MEDFIELD DENTAL |
| NPI Number: | 1437441508 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARI BAE (PRESIDENT) |
| Mailing Address: | 36 Janes Ave Medfield |
| State: | MA US |
| Postal Code: | 020522005 |
| Phone Number: | 5083596900 |
| Fax Number: | 5083597900 |
| NPI Enumeration Date: | 05/09/2011 |
| NPI Last Update Date: | 05/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 22201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |