Andover Periodontics, Pc | |
2 Stevens St Andover MA 01810-6516 | |
(978) 475-0567 | |
(978) 475-7169 |
Full Name | Andover Periodontics, Pc |
---|---|
Speciality | Dentist - Periodontics |
Location | 2 Stevens St, Andover, Massachusetts |
Authorized Official Name and Position | Maria Dona (PRESIDENT) |
Authorized Official Contact | 9784750567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Andover Periodontics, Pc 2 Stevens St Andover MA 01810-6516 Ph: () - | Andover Periodontics, Pc 2 Stevens St Andover MA 01810-6516 Ph: (978) 475-0567 |
NPI Number | 1477808822 |
---|---|
Provider Enumeration Date | 07/20/2012 |
Last Update Date | 07/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477808822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 1855971 (Massachusetts) | Primary |
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