MEDICARE: MARINA V PINKAS DMD PC

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	261QD0000X	Dental Clinic/Center	20803	MA

General Provider Information

NPI Number	:	1770735615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARINA V PINKAS DMD PC

Provider Business Mailing Address
First Line	:	16 BARROWS ST
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2242
Country	:	US
Telephone Number	:	508-695-3719
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 BARROWS ST
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2242
Country	:	US
Telephone Number	:	508-695-3719
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MARINA V PINKAS
Credential	:	DMD
Telephone Number	:	508-695-3719

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	10/22/2008

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