| Hathorne Family Dental | |
|
491 Maple St Ste 302 Danvers MA 01923-4026 | |
| (978) 750-0035 | |
| (978) 750-0036 |
| Full Name | Hathorne Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 491 Maple St Ste 302, Danvers, Massachusetts |
| Authorized Official Name and Position | Majlinda Vaka (PRESIDENT) |
| Authorized Official Contact | 9787500035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hathorne Family Dental 491 Maple St Danvers MA 01923-4023 Ph: (978) 750-0035 | Hathorne Family Dental 491 Maple St Ste 302 Danvers MA 01923-4026 Ph: (978) 750-0035 |
| NPI Number | 1174065585 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174065585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1857306 (Massachusetts) | Primary |
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