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NPI 1881553899

NPI 1881553899 : PEACE INTEGRATED DENTAL, PLLC : MARLBOROUGH, MA

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General NPI Number Information
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    NPI Number           |    1881553899
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEACE INTEGRATED DENTAL, PLLC 
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Dates
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    Enumeration Date     |    01/16/2026
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    Last Update Date     |    01/23/2026
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Provider Practice Location Address
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    Address Line         |    19 MAPLE ST STE E 
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    City                 |    MARLBOROUGH
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    State                |    MA
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    Zip                  |    01752-2904
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    Country              |    US
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    Telephone            |    508-485-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    150 E MAIN ST UNIT 28 
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    City                 |    WESTBOROUGH
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    State                |    MA
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    Zip                  |    01581-8101
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     KAI  HU 
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    Credential           |    DMD
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    Telephone            |    617-820-0418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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