MEDICARE: SEIN H. SIAO, DMD & ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist		MA

General Provider Information

NPI Number	:	1174732903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEIN H. SIAO, DMD & ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	14 COMMON ST
Second Line	:
City	:	WRENTHAM
State	:	MA
Zip	:	02093-1348
Country	:	US
Telephone Number	:	508-384-8136
Fax Number	:	508-384-2531

Provider Business Practice Location Address
First Line	:	14 COMMON ST
Second Line	:
City	:	WRENTHAM
State	:	MA
Zip	:	02093-1348
Country	:	US
Telephone Number	:	508-384-8136
Fax Number	:	508-384-2531

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. CANDY BARBOSA
Credential	:
Telephone Number	:	508-384-8136

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	06/26/2015

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