Organization Name: | BARBARA A PREUSSNER DMD, PC |
NPI Number: | 1770976722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA PREUSSNER (DENTIST/OWNER) |
Mailing Address: | 479 Washington St Suite 2 Holliston |
State: | MA US |
Postal Code: | 017461828 |
Phone Number: | 5084297125 |
Fax Number: | 5084292018 |
NPI Enumeration Date: | 03/16/2015 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 17180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |