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42 NORTH DENTAL CARE, LLC 1376210872

Overview
Name: 42 NORTH DENTAL CARE, LLC Specialty: Dental Clinic/Center Type of Practice: Organization Provider/Org: 42 NORTH DENTAL CARE, LLC Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Dental. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: 42 NORTH DENTAL CARE, LLC,2184 WASHINGTON ST,CANTON,MA,020211145,US Mailing Address: 42 NORTH DENTAL CARE, LLC,200 5TH AVE FL 3,WALTHAM,MA,024518759,US
Contact #
Practice location phone #: 7813300900 Practice location fax #: 7815751083 Mailing address Phone #: 7816470772 Mailing Address fax #: Authorized official Name/Telephone #:DR., MICHAEL, ANGELO, SCIALABBA, DDS, CHIEF CLINICAL OFFICER 5615122709
Misc
Date NPI was obtained: 08/24/2021 Last data data was updated: 08/24/2021 Insurances:

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