Provider Demographics
NPI:1902053002
Name:ALL IN ONE DENTAL CLINIC LLC
Entity Type:Organization
Organization Name:ALL IN ONE DENTAL CLINIC LLC
Other - Org Name:ARCADIA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ROSSIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-541-7400
Mailing Address - Street 1:620 OLD WEST CENTRAL ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2912
Mailing Address - Country:US
Mailing Address - Phone:508-541-7400
Mailing Address - Fax:508-541-7415
Practice Address - Street 1:620 OLD WEST CENTRAL ST
Practice Address - Street 2:SUITE 201
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2912
Practice Address - Country:US
Practice Address - Phone:508-541-7400
Practice Address - Fax:508-541-7415
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL IN ONE DENTAL CLINIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21716261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental